Mercy Health Services/Iowa Corp.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MERCY HEALTH SERVICES/IOWA CORP.

Practice address

707 Gilbert St
Charles City, IA 50616-2703

Phone

(641) 228-3567

Fax

(641) 228-3577

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Rodney G Schlader

Title

Cfo

Phone

(641) 422-7349

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MERCY CHARLES CITY DIALYSIS Doing business as

Member of 1

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

• Mercy Health Services-Iowa Corp

  • Pharmacy
  • Clear Lake, IA
  • NPI 1639625155

  Member Of

  NPD member

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1124125216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "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": "707 GILBERT ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162703",
            "telephone_number": "641-228-3567",
            "fax_number": "641-228-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES/IOWA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "SCHLADER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-422-7349"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600643",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "62312",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY CHARLES CITY DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bret Alan Kruthoff, PT
• Troy Allen Loeckle, PT, RVT, RCP
• Val Owen Lyons, MD
• Main Street Drug
• Main Street Drug Inc
• Addison Miller, DDS
• Megan Rose Miller, ARNP
• MMS Healthcare LLC
• Joseph Paul Molnar, D.O.
• Norma M Breitbach

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Charles City, IA
• Providers in Charles City, IA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.