MEDICARE: MERCY HEALTH SERVICES- IOWA CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	59414	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1831142801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH SERVICES- IOWA CORP

Provider Business Mailing Address
First Line	:	PO BOX 1447
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50402-1447
Country	:	US
Telephone Number	:	641-428-6444
Fax Number	:	641-428-6458

Provider Business Practice Location Address
First Line	:	1501 4TH ST SW
Second Line	:	SUITE MHC
City	:	MASON CITY
State	:	IA
Zip	:	50401-2737
Country	:	US
Telephone Number	:	641-428-6825
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CONNIE MORRISON
Credential	:
Telephone Number	:	641-428-6182

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/31/2020

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Directions to “MERCY HEALTH SERVICES- IOWA CORP ” Practice Location

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