Organization Active NPI

Mercy Health Services-Iowa Corp.

  • Rural Health Clinic/Center
  • Buffalo Center, IA
National Provider Identifier
1174699656
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MERCY HEALTH SERVICES-IOWA CORP.
Practice address
115 N Main
Suite RH
Buffalo Center, IA 50424-0000
Phone
(641) 562-2424
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Mark Trammel
Title
Assistant Treasurer
Phone
(641) 428-7984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

115 N Main
Suite RH
Buffalo Center, IA 50424-0000

Mailing address

621 S Illinois Ave
Suite 103
Mason City, IA 50401-5489
Phone (641) 494-3041

Other identifiers 2

IdentifierTypeStateIssuer
68948OtherIAWELLMARK
0634741MedicaidIA

Other names 2

  • MERCY FAMILY CLINIC-BUFFALO CENTER Doing business as
  • MercyOne Buffalo Center Rural Family Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.mcguire.p43@direct.trinity-healthiowa.nextgenshare.com Direct MercyOne North Iowa

National Provider Directory

National Provider Directory

Member of 1

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

Locations

115 N Main St
Ste Rh
Buffalo Center, IA 50424
Phone (641) 562-2424

Interoperability endpoints

  • Direct secure messaging: james.mcguire.p43@direct.trinity-healthiowa.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1174699656",
    "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": "115 N MAIN",
            "address_2": "SUITE RH",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504240000",
            "telephone_number": "641-562-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES-IOWA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "TRAMMEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "641-428-7984"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "68948",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634741",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.mcguire.p43@direct.trinity-healthiowa.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Email Address",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Email Address",
            "address_1": "1631 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504011612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MERCY FAMILY CLINIC-BUFFALO CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY FAMILY CLINIC-BUFFALO CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Buffalo Center Rural Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.