Mercy Medical Center-Dubuque

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

310003H Issued in IA

Legal business name

MERCY MEDICAL CENTER-DUBUQUE

Doing business as

MercyOne Dubuque Medical Center-Skilled Nursing

Practice address

250 Mercy Dr
Dubuque, IA 52001-7320

Phone

(563) 589-8000

Fax

(563) 589-9029

NPI assigned

Jul 12, 2006

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kay L Takes

Title

President

Phone

(563) 589-8061

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MercyOne Dubuque Medical Center-Skilled Nursing Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Health Services-Iowa Corp

  • Community/Retail Pharmacy
  • Greene, IA
  • NPI 1003221979

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1083649206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017320",
            "telephone_number": "563-589-8000",
            "fax_number": "563-589-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017320",
            "telephone_number": "563-589-8000",
            "fax_number": "563-589-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER-DUBUQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "TAKES",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-589-8061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "310003H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SKILLED",
            "identifier": "65116",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0651166",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS SKILLED",
            "identifier": "A000957",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Dubuque Medical Center-Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Family Pharmacy (Mercy Family Pharmacy West)
• Mercy Health Services-Iowa, Corp (MercyOne Laboratory)
• Mercy Health Services-Iowa, Corp (Mercy Home Healthcare Dubuque)
• Mercy Health Services-Iowa, Corp (Mercy Home Care-Dubuque)
• Mercy Medical Center Dubuque
• Mercy Medical Center-Dubuque (MercyOne Dubuque Medical Center-Rehab Unit)
• Mercy Medical Center-Dubuque (MercyOne Dubuque Medical Center)
• Mercy Medical Center-Dubuque
• Mercy Radiologists of Dubuque, P.C.
• Merfeld Counseling, LLC

• Skilled Nursing Facility in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.