NPIMap

Organization Active NPI

North Iowa Mercy Clinics

Doing business as Mercy Family Clinic-Rockwell

  • Family Medicine Physician
  • Rockwell, IA
National Provider Identifier
1215948252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH IOWA MERCY CLINICS
Doing business as
Mercy Family Clinic-Rockwell
Practice address
705 Elm St E
Rockwell, IA 50469-0000
Phone
(641) 822-3303
Fax
(641) 822-3359
NPI assigned
Aug 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rodney Schlader
Title
Cfo
Phone
(641) 422-7349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

705 Elm St E
Rockwell, IA 50469-0000

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0287813MedicaidIA

Other names 1

  • MERCY FAMILY CLINIC-ROCKWELL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000273 IA Part B Supplier - Clinic/Group Practice 7810809076 Receives reassigned benefits from 477 practitioners
39 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 39

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 39

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215948252",
    "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": "705 ELM ST E",
            "city": "ROCKWELL",
            "state": "IA",
            "postal_code": "504690000",
            "telephone_number": "641-822-3303",
            "fax_number": "641-822-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IOWA MERCY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLADER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-422-7349"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287813",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY FAMILY CLINIC-ROCKWELL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.