MERCY MEDICAL SERVICES (NPI# 1063450708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063450708 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL SERVICES |
| Other Organization Name | WAKEFIELD MERCY MEDICAL CLINIC |
| Practice Address |
308 Ash St Wakefield NE 68784-5023 |
| Mailing Address |
Po Box 328 Sioux City IA 51102-0328 |
| Practice Telephone | 4022872267 |
| Practice Fax Number | 4022872267 |
| Mailing Telephone | 7122795830 |
| Mailing Fax Number | 7122795883 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-09-27 |
| 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 | 100252199-00 | 05 |
| Other Name | Type Code |
|---|---|
| Wakefield 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 |
| 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 |
| 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 |
| Street Address |
308 ASH ST |
| City | WAKEFIELD |
| State | NE |
| Zip Code | 68784-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366986291 | Janette Deck | Speech-Language Pathologist | 211 10th Street, Unit 1 Educationl Service, Wakefield, NE 68784 | 2016-12-12 |
| 1427228790 | James Edward Bierbower | Dentist | 214 Main St, Wakefield, NE 68784-0506 | 2008-03-03 |
| 1891053468 | Catherine Schroeder | Speech-Language Pathologist | 211 10th St, Wakefield, NE 68784-5014 | 2012-05-02 |
| 1063024453 | Blythe Allison Zimmerman | Occupational Therapist | 211 10th St, Wakefield, NE 68784-5014 | 2020-08-18 |
| 1679182471 | Hannah Davis | Speech-Language Pathologist | 211 10th St, Wakefield, NE 68784-5014 | 2020-07-28 |
| 1942862511 | Angela Michelle Wortman | Occupational Therapist | 211 10th St, Wakefield, NE 68784-5014 | 2019-07-03 |
| 1710448816 | Vernae Luhr | Audiologist | 211 10th St, Wakefield, NE 68784-5014 | 2019-03-29 |
| 1851850747 | Arianne Conley | Registered Nurse | 211 10th St, Wakefield, NE 68784-5014 | 2019-03-19 |
| 1366921363 | Megan Rose Gubbels | Speech-Language Pathologist | 211 10th St, Wakefield, NE 68784-5014 | 2018-08-09 |
| 1225582026 | Jenna Mae Mcafee | Speech-Language Pathologist | 211 10th St, Wakefield, NE 68784-5014 | 2016-08-09 |
| Find all providers in zip 68784 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 | ||||
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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.