MERCY MEDICAL CENTER-CLINTON, INC. (NPI# 1134259674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134259674 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-CLINTON, INC. |
| Other Organization Name | MERCY LIVING CENTER SOUTH |
| Practice Address |
638 S Bluff Blvd Clinton IA 52732-4742 |
| Mailing Address |
1410 N 4th St Clinton IA 52732-2940 |
| Practice Telephone | 5632445676 |
| Practice Fax Number | 5632445592 |
| Mailing Telephone | 5632445676 |
| Mailing Fax Number | 5632445592 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-08-12 |
| Authorized Official Name | MR. SEAN WILLIAMS (PRESIDENT & CEO) |
| Authorized Official Telephone | 5632443530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 230056H | IA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 230056H | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | STATE LICENSE | 230056H | 01 |
| IA | 800342 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Living Center South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861522336 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 600 14th Ave N, Clinton, IA 52732-2914 | 2007-03-06 |
| 1174653232 | Mercy Medical Center-clinton, Inc. | Rehabilitation Unit | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-07 |
| 1881724318 | Mercy Medical Center-clinton, Inc. | Skilled Nursing Facility | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-06 |
| 1841320371 | Mercy Medical Center-clinton, Inc. | Skilled Nursing Facility | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-06 |
| 1649300054 | Mercy Medical Center-clinton, Inc. | Personal Emergency Response Attendant | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-06 |
| Street Address |
638 S BLUFF BLVD |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375921 | Michael Nasr Mankarious | Internal Medicine | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2005-06-02 |
| 1144863903 | Wanda Strunk | Social Worker | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2019-10-24 |
| 1669028999 | Lindsay Hohertz | Social Worker | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2019-08-13 |
| 1346727732 | Gabriel Robert Gluba | Counselor | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2018-07-27 |
| 1396269221 | Rachel R Riedesel | Nurse Practitioner | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2017-08-02 |
| 1477081958 | Terrance J Goodell | Counselor | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2017-05-30 |
| 1023563228 | Nancy Brown | Registered Nurse | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2016-08-18 |
| 1619327558 | Karli Moellers | Social Worker | 638 S Bluff Blvd, Clinton, IA 52732 | 2016-06-21 |
| 1003288275 | Kristen Swisher | Registered Nurse | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2015-10-27 |
| 1437521622 | Lori Johnson | Registered Nurse | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2015-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1578927588 | Pineview Extended Care Centre, Inc. | Skilled Nursing Facility | 9016 Pine View Lane, Clinton, MD 20735-3229 | 2016-04-06 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1548465891 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 801 Musgrove St, Clinton, SC 29325-1752 | 2007-06-18 |
| 1265575641 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 120 Southwood Dr, Clinton, NC 28328-5002 | 2007-02-15 |
| 1477616183 | Arbor Place of Clinton Inc | Skilled Nursing Facility | 106 Padgett Dr, Clinton, KY 42031-1313 | 2006-12-18 |
| 1922172113 | United Methodist Retirement & Health Care Center, Inc. | Skilled Nursing Facility | 2316 W Modelle Ave, Clinton, OK 73601-3722 | 2006-11-20 |
| 1942372511 | Witham Memorial Hospital | Skilled Nursing Facility | 1705 S Main St, Clinton, IN 47842-2524 | 2006-11-15 |
| 1568567113 | Clinton Nursing Center, LLC | Skilled Nursing Facility | 2400 W Modelle Ave, Clinton, OK 73601-3724 | 2006-09-14 |
| 1033141015 | Clinton No 1 Inc | Skilled Nursing Facility | 1009 E Ohio St, Clinton, MO 64735-2455 | 2006-07-07 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.