NPIMap

North Iowa Mercy Clinics

Organization Active NPI Internal Medicine Physician · Clarion, IA

NPI 1114184355 · NPPES record last updated May 16, 2008

Key facts

NPI
1114184355
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
NORTH IOWA MERCY CLINICS
Practice address
215 13TH Ave SW
Clarion, IA 50525-2078
Phone
(641) 422-6999
NPI assigned
May 16, 2008
Organization subpart
No

Authorized official

Name
Rodney Schlader
Title
Cfo
Phone
(641) 422-7349

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cobius Healthcare Solutions (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

215 13TH Ave SW
Clarion, IA 50525-2078

Mailing address

PO Box 1894
Mason City, IA 50402-1894
Phone (641) 494-3041

Other identifiers

IdentifierTypeStateIssuer
0221457MedicaidIA
47718OtherIAWELLMARK

Other names

  • MERCY INTERNAL MEDICINE-CLARION Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 16, 2008.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1114184355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1894",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504021894",
            "telephone_number": "641-494-3041",
            "fax_number": "641-494-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252078",
            "telephone_number": "641-422-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IOWA MERCY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "SCHLADER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-422-7349"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221457",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "47718",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY INTERNAL MEDICINE-CLARION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarion, IA

All providers in Clarion, IA · Internal Medicine Physician in Iowa

Sources for this page

Verify at the official NPI Registry.