Active NPI
Mercy Medical Services
- Family Medicine Physician
- Moville, IA
National Provider Identifier
1154960466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MERCY MEDICAL SERVICES
- Practice address
- 410 Main St
Moville, IA 51039-7715 - Phone
- (712) 873-5225
- NPI assigned
- Jan 3, 2020
- 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
- Jesica Hanson
- Title
- VP Finance
- Phone
- (641) 428-5850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
410 Main St
Moville, IA 51039-7715
Mailing address
621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Other names 1
- MercyOne Moville Family Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1154960466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S ILLINOIS AVE STE 103",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504015489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MAIN ST",
"city": "MOVILLE",
"state": "IA",
"postal_code": "510397715",
"telephone_number": "712-873-5225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-03",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "JESICA",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "641-428-5850"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MercyOne Moville Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MercyOne Moville Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.