MEDICARE: MERCY MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363AM0700X	Medical Physician Assistant
3	261QR1300X	Rural Health Clinic/Center

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

General Provider Information

NPI Number	:	1902840671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 328
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51102-0328
Country	:	US
Telephone Number	:	712-279-5830
Fax Number	:	712-279-5883

Provider Business Practice Location Address
First Line	:	321 MILL ST
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001-7712
Country	:	US
Telephone Number	:	712-568-2411
Fax Number	:	712-568-2849

Authorized Official
Title or Position	:	PRESIDENT
Name	:	M ELIZABETH FLANNERY-HUGHES
Credential	:
Telephone Number	:	712-279-2018

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	02/19/2020

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Practice Location Address:

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1487289955 — HAWARDEN REGIONAL HEALTHCARE
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1477380640 — ELIZABETH ANNE KRUSE
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1316937766 — TIMOTHY J ALLARD D.C.
Practice Location Address:

222 REED STREET , BOX 135
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51001

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1780659599 — AKRON CARE CENTER, INC.
Practice Location Address:

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1679536015 — DAVID G. WOLFF M.D.
Practice Location Address:

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Directions to “MERCY MEDICAL SERVICES ” Practice Location

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