NPIMap

Organization Active NPI

Mercy Medical Services

Doing business as MercyOne Ponca Family Medicine

  • Rural Health Clinic/Center
  • Ponca, NE
National Provider Identifier
1093966244
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MERCY MEDICAL SERVICES
Doing business as
MercyOne Ponca Family Medicine
Ponca Mercy Medical Clinic
Practice address
111 E 2ND St
Ponca, NE 68770-7208
Phone
(402) 755-2231
Fax
(402) 755-4100
NPI assigned
Oct 7, 2008
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
M. Elizabeth Flannery-Hughes
Title
President
Phone
(712) 279-2018

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Medical Physician Assistant 363AM0700X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

111 E 2ND St
Ponca, NE 68770-7208

Mailing address

PO Box 328
Sioux City, IA 51102-0328
Phone (712) 279-5830

Other names 2

  • MercyOne Ponca Family Medicine Doing business as
  • Ponca Mercy Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1093966244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020328",
            "telephone_number": "712-279-5830",
            "fax_number": "712-279-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 2ND ST",
            "city": "PONCA",
            "state": "NE",
            "postal_code": "687707208",
            "telephone_number": "402-755-2231",
            "fax_number": "402-755-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "FLANNERY-HUGHES",
        "authorized_official_first_name": "M. ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-279-2018"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Ponca Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ponca Mercy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ponca Mercy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponca, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.