Mercy Medical Services

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MERCY MEDICAL SERVICES

Doing business as

Bancroft Mercy Medical Clinic

Practice address

219 Main Street
Bancroft, NE 68004

Phone

(402) 648-7606

NPI assigned

Jun 15, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Monsma

Title

Executive Network Director

Phone

(712) 279-2925

Specialties & licenses 4

Addresses

Other names 1

• Bancroft Mercy Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1164466843",
    "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": "712-279-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MAIN STREET",
            "city": "BANCROFT",
            "state": "NE",
            "postal_code": "68004",
            "telephone_number": "402-648-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MONSMA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE NETWORK DIRECTOR",
        "authorized_official_telephone_number": "712-279-2925"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bancroft Mercy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bancroft Rural Fire District (Bancroft Rural Vol. Fire and Resuce)
• Bancroft-Rosalie Community School
• Janell L Garrett
• Antonia Rae Goeken
• Brianna Christine Hansen
• Linda Faye Munderloh, LPN
• Pender Community Hospital District (Bancroft Medical Clnic)
• Leah Sjuts

• Rural Health Clinic/Center in Bancroft, NE
• Providers in Bancroft, NE by specialty
• Rural Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.