MERCY MEDICAL SERVICES (NPI# 1992749675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992749675 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL SERVICES |
| Other Organization Name | PENDER MERCY MEDICAL CLINIC |
| Practice Address |
100 Valley View Drive Pender NE 68047 |
| Mailing Address |
Po Box 328 Sioux City IA 51102-0328 |
| Practice Telephone | 4023853033 |
| Practice Fax Number | 4023853092 |
| Mailing Telephone | 7122795830 |
| Mailing Fax Number | 7122795883 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | BRIAN MONSMA (EXECUTIVE NETWORK DIRECTOR) |
| Authorized Official Telephone | 7122792925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 0559047 | 05 |
| Other Name | Type Code |
|---|---|
| Pender Mercy Medical Clinic | 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 |
| 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 |
| 1558719690 | Mercy Medical Services | Clinic/Center | 1427 W Milwaukee Ave, Storm Lake, IA 50588-2905 | 2016-05-31 |
| 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 |
100 VALLEY VIEW DRIVE |
| City | PENDER |
| State | NE |
| Zip Code | 68047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073600870 | Larry E Rihanek | Pharmacist | 100 Valley View Drive, Pender, NE 68047 | 2006-10-05 |
| 1285678987 | Benjamin O. Martin | Family Medicine | 100 Valley View Drive, Pender, NE 68047 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004737 | Karissa Lynn Johnson | Chiropractor | 110 N 4th Street, Pender, NE 68047 | 2016-10-20 |
| 1003367368 | Align Chiropractic, LLC | Chiropractor | 110 North 4th Street, Pender, NE 68047 | 2016-10-20 |
| 1811327273 | Northeast Nebraska Community Action Partnership, Inc. | Public Health or Welfare | 603 Earl Street, Pender, NE 68047 | 2013-11-22 |
| 1114030798 | Village of Pender | Ambulance | 314 Maple St, Pender, NE 68047 | 2006-08-16 |
| 1609318849 | Dregalla Family Dentistry | Clinic/Center | 402 Main St, Pender, NE 68047 | 2016-11-04 |
| 1780769158 | Christine Dregalla | Dentist | 402 Main St, Pender, NE 68047 | 2006-10-26 |
| 1962578997 | Pender Care Centre District Inc | Skilled Nursing Facility | 200 Valley View Dr, Pender, NE 68047-4443 | 2006-11-28 |
| 1588149561 | Brock Peter Simonsen | Physical Therapist | 100 Hospital Dr, Pender, NE 68047-4507 | 2018-09-26 |
| 1184101321 | Sarah Ann Hanson | Dietitian, Registered | 100 Hospital Dr, Pender, NE 68047-4507 | 2018-07-20 |
| 1023524519 | Katie Neujahr | Occupational Therapist | 100 Hospital Dr, Pender, NE 68047-4507 | 2017-12-19 |
| Find all providers in zip 68047 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265092142 | Pender Community Hospital District | Clinic/Center | 958 Wellness Way Ste 1, Pender, NE 68047-4518 | 2019-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962706 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St Ste A, Ogallala, NE 69153-2465 | 2017-06-27 |
| 1104228451 | Lexington Regional Health Center | Clinic/Center | 1105 N Erie St, Lexington, NE 68850-1504 | 2014-09-18 |
| 1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 1477827244 | Cheyenne County Hospital Association Inc | Clinic/Center | 562 Vincent Ave, Chappell, NE 69129-9713 | 2012-02-27 |
| 1356676761 | Oakland Mercy Hospital | Clinic/Center | 600 E Fulton St, Hooper, NE 68031-3074 | 2009-10-03 |
| 1659528412 | Regional West Physicians Clinic | Clinic/Center | 302 Center Ave, Morrill, NE 69358-3017 | 2008-08-25 |
| 1073776886 | Minden Family Practice Clinic Inc | Clinic/Center | 345 N Minden Ave, Minden, NE 68959-1657 | 2008-07-02 |
| 1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MERCY MEDICAL SERVICES.
| 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.