Active NPI
Mercy Services Iowa City, Inc.
- Primary Care Clinic/Center
- Solon, IA
National Provider Identifier
1124165782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MERCY SERVICES IOWA CITY, INC.
- Practice address
- 510 W Main St
#A
Solon, IA 52333-9764 - Phone
- (319) 624-2991
- Fax
- (319) 624-3931
- NPI assigned
- Jan 31, 2007
- Last updated
- May 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Ann Bogs
- Title
- Executive Assistant
- Phone
- (319) 339-3540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
510 W Main St
#A
Solon, IA 52333-9764
Mailing address
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1260869 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rural Health Clinic/Center
- North English, IA
- NPI 1457863318
O20040129000617
-
- Primary Care Clinic/Center
- West Liberty, IA
- NPI 1477065332
O20040129000617
-
- Primary Care Clinic/Center
- Columbus Junction, IA
- NPI 1710499678
O20040129000617
-
- Multi-Specialty Clinic/Center
- Iowa City, IA
- NPI 1740213206
O20040129000617
-
- Primary Care Clinic/Center
- Iowa City, IA
- NPI 1801933569
O20040129000617
-
- Primary Care Clinic/Center
- West Branch, IA
- NPI 1972640449
O20040129000617
National Provider Directory
National Provider DirectoryLocations
510 W Main St
Ste A
Solon, IA 52333
Phone (319) 624-2991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acute Care Nurse Practitioner
- Coralville, IA
- NPI 1669916102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683763200000",
"number": "1124165782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E MARKET ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452633",
"telephone_number": "319-339-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W MAIN ST",
"address_2": "#A",
"city": "SOLON",
"state": "IA",
"postal_code": "523339764",
"telephone_number": "319-624-2991",
"fax_number": "319-624-3931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY SERVICES IOWA CITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A",
"authorized_official_last_name": "BOGS",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "319-339-3540"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1260869",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Solon, IA
- Megan Marie Humpal, P.T
- I Care of Solon PLLC
- Amy Jackson
- Claire Elizabeth Lemay, LISW
- Elizabeth A Mangrich Hickman, MD
- North Central Iowa Mental Health Center Inc (UnityPoint Health-Berryhill Center)
- Optimal Performance LLC
- Nathan Raner
- Lindsey Ann Rooff, M.A. CCC-SLP
- Tara Jo Pickart Saul, PT, DPT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.