MERCY MEDICAL SERVICES (NPI# 1790723633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790723633 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL SERVICES |
| Other Organization Name | MERCYONE KINGSLEY FAMILY MEDICINE |
| Practice Address |
111 S Main St Kingsley IA 51028-5021 |
| Mailing Address |
Po Box 328 Sioux City IA 51102-0328 |
| Practice Telephone | 7123782921 |
| Practice Fax Number | 7123782965 |
| Mailing Telephone | 7122795830 |
| Mailing Fax Number | 7122795883 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | M ELIZABETH FLANNERY-HUGHES (PRESIDENT) |
| Authorized Official Telephone | 7122792018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0638676 | 05 |
| Other Name | Type Code |
|---|---|
| Kingsley Mercy Medical Clinic | Doing Business As Name - Organization |
| MercyOne Kingsley Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164466843 | Mercy Medical Services | Family Medicine | 219 Main Street, Bancroft, NE 68004 | 2006-06-15 |
| 1992749675 | Mercy Medical Services | Family Medicine | 100 Valley View Drive, Pender, NE 68047 | 2006-06-15 |
| 1891739579 | Mercy Medical Services | Family Medicine | 1012 South Main Street, Emerson, NE 68733 | 2006-06-15 |
| 1063450708 | Mercy Medical Services | Family Medicine | 308 Ash St, Wakefield, NE 68784-5023 | 2006-06-03 |
| 1316985252 | Mercy Medical Services | Nurse Practitioner | 212 Main St, Beemer, NE 68716-4214 | 2006-06-03 |
| 1710925813 | Mercy Medical Services | Family Medicine | 1109 9th St, Wisner, NE 68791-2113 | 2006-06-02 |
| 1083652218 | Mercy Medical Services | Family Medicine | 701 Cedar Ave, Laurel, NE 68745-1715 | 2006-06-02 |
| 1154960466 | Mercy Medical Services | Family Medicine | 410 Main St, Moville, IA 51039-7715 | 2020-01-03 |
| 1730664566 | Mercy Medical Services | Nurse Practitioner | 212 E Bow Dr, Cherokee, IA 51012-1215 | 2018-09-27 |
| 1750889325 | Mercy Medical Services | Family Medicine | 2827 Hamilton Blvd, Sioux City, IA 51104-2403 | 2018-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL SERVICES, INC. | 3300 Northbrook Dr Ste A, Sioux City, IA 51105-2453 |
| Oklahoma Business Registrations | MERCY MEDICAL SERVICES, INC. | 7301 Rogers Ave, Ft Smith, AR 72917-7000 |
| Street Address |
111 S MAIN ST |
| City | KINGSLEY |
| State | IA |
| Zip Code | 51028-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932142015 | Robert V. Powell | Family Medicine | 111 S Main St, Kingsley, IA 51028-5021 | 2006-06-14 |
| 1790738714 | Cindy P. Inman | Nurse Practitioner | 111 S Main St, Kingsley, IA 51028-5021 | 2006-05-19 |
| 1003869058 | Jeffrey D. Krohn | Family Medicine | 111 S Main St, Kingsley, IA 51028-5021 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396861266 | Todd M Goodwin | Chiropractor | 30 W. 2nd Str., Kingsley, IA 51028 | 2007-03-22 |
| 1467509307 | Kingsley Pharmacy, Inc | Pharmacy | 7 West 2nd St, Kingsley, IA 51028 | 2007-01-04 |
| 1528120334 | City of Kingsley | Ambulance | 207 East 1st Street, Kingsley, IA 51028 | 2006-12-15 |
| 1639252331 | Kingsley Vision Center PC | Optometrist | 125 Main Street, Kingsley, IA 51028 | 2006-10-24 |
| 1942386099 | Karl & Sara Koelling Dds, P.C. | Dentist | 12 East 2nd, Kingsley, IA 51028-0220 | 2006-10-31 |
| 1710061908 | Sara Margaret Koelling | Dentist | 12 East 2nd St, Kingsley, IA 51028-0220 | 2006-10-24 |
| 1417030297 | Karl Duane Koelling | Dentist | 12 East 2nd St., Kingsley, IA 51028-0220 | 2006-10-23 |
| 1376035832 | Jala Jean Kischer | Nurse Practitioner | 409 Burlington St, Kingsley, IA 51028-5010 | 2018-05-31 |
| 1467422907 | Care Initiatives | Skilled Nursing Facility | 305 W 3rd St, Kingsley, IA 51028-5064 | 2006-01-26 |
| 1417331349 | Katie Ann Kraayenbrink | Pharmacist | 7 W 2nd St, Kingsley, IA 51028-7708 | 2015-07-09 |
| Find all providers in zip 51028 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
| 1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
| 1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
| 1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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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.