MERCY MEDICAL CENTER-DYERSVILLE (NPI# 1205816725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205816725 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER-DYERSVILLE |
| Other Organization Name | MERCYONE DYERSVILLE MEDICAL CENTER |
| Practice Address |
1111 3rd St Sw Dyersville IA 52040-1725 |
| Mailing Address |
250 Mercy Dr Dubuque IA 52001-7320 |
| Practice Telephone | 5638757101 |
| Practice Fax Number | 5638752957 |
| Mailing Telephone | 5635899086 |
| Mailing Fax Number | 5635899029 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | MS. KAY L TAKES (PRESIDENT) |
| Authorized Official Telephone | 5635898061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
310181H | IA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0601542 | 05 | |
| LICENSE | 310181H | 01 |
| Other Name | Type Code |
|---|---|
| MercyOne Dyersville Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598786220 | Mercy Medical Center-dyersville | Medicare Defined Swing Bed Unit | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2006-07-21 |
| Street Address |
1111 3RD ST SW |
| City | DYERSVILLE |
| State | IA |
| Zip Code | 52040-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625235 | Jennifer Leigh Davis | Nurse Practitioner | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2020-07-02 |
| 1356987416 | Chelsea Jean Christensen | Nurse Practitioner | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2019-11-25 |
| 1740841196 | Brooke Marie Cooney | Nurse Practitioner | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2019-06-26 |
| 1417439787 | Hayle Victoria Bockenstedt | Nurse Practitioner | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2018-09-04 |
| 1154421469 | Mercy Family Pharmacy | Pharmacy | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2006-09-25 |
| 1598786220 | Mercy Medical Center-dyersville | Medicare Defined Swing Bed Unit | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2006-07-21 |
| 1780613372 | Mercy Medical Center-dubuque | Nursing Facility/Intermediate Care Facility | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2006-07-03 |
| 1699724930 | Emad M Fahmy | Internal Medicine | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2006-05-05 |
| 1164491205 | Jeffrey Klein | Podiatrist | 1111 3rd St Sw, Dyersville, IA 52040-1725 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205961711 | Daniel George Engelbrecht | Dentist | 119 4th St Se, Dyersville, IA 52040 | 2007-02-23 |
| 1801946181 | Linda J. Nightingale | Pharmacist | 1020 12th Ave Se, Dyersville, IA 52040 | 2007-01-11 |
| 1144333998 | Bi-county Ambulance | Ambulance | 1503 6th St Se, Dyersville, IA 52040 | 2006-08-16 |
| 1114972775 | Jason John Putz | Physical Therapist | 1129 11th St Se, Suite A, Dyersville, IA 52040 | 2006-05-23 |
| 1700165065 | Elizabeth Rachel Groff Polito | Physical Therapist | 1129 11th St Se, Suite A, Dyersville, IA 52040 | 2011-08-04 |
| 1518093608 | William John George | Dentist | 119 4th St Se, Dyersville, IA 52040 | 2007-02-26 |
| 1811048093 | Jason W Wall | Chiropractor | 120 1st Ave W, Dyersville, IA 52040-1103 | 2007-01-15 |
| 1053634410 | Thomas Joseph Martin | Chiropractor | 120 1st Ave W, Dyersville, IA 52040-1103 | 2010-03-12 |
| 1811529936 | Joshua Jay Tegeler | Student in an Organized Health Care Education/Training Program | 137 1st Ave W, Dyersville, IA 52040-1104 | 2020-02-06 |
| 1922045343 | Julie A Panosh | Pharmacist | 201 1st Ave E, Dyersville, IA 52040-1202 | 2006-06-02 |
| Find all providers in zip 52040 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144378621 | Loring Hospital | General Acute Care Hospital | 211 Highland Ave, Sac City, IA 50583-2416 | 2007-01-08 |
| 1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| 1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
| 1376650994 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St., Des Moines, IA 50310-5774 | 2006-08-23 |
| 1831102557 | Central Community Hospital | General Acute Care Hospital | 901 Davidson St Nw, Elkader, IA 52043-9015 | 2006-08-14 |
| 1184645434 | Central Community Hospital | General Acute Care Hospital | 901 Davidson Street Nw, Elkader, IA 52043-9015 | 2006-07-22 |
| 1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
| 1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
| Find all providers with the same taxonomy | ||||
| City | DYERSVILLE |
| Zip Code | 52040 |
Please comment or provide details below to improve the information on MERCY MEDICAL CENTER-DYERSVILLE.
| 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.