Organization Active NPI

North Iowa Mercy Clinics

  • Family Medicine Physician
  • Albert Lea, MN
National Provider Identifier
1245862697
Registry record updated Apr 23, 2021
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
MercyOne Albert Lea Family Medicine & Specialty Care
Practice address
2440 Bridge Ave
Albert Lea, MN 56007-2005
Phone
(507) 473-2249
Fax
(507) 473-2088
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Danette Zook
Title
Cfo
Phone
(641) 428-7989

Specialties & licenses 1

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

Addresses

Primary practice location

2440 Bridge Ave
Albert Lea, MN 56007-2005

Mailing address

600 1St St NW Ste 101
Mason City, IA 50401-2932
Phone (641) 428-7000

Other names 1

  • MercyOne Albert Lea Family Medicine & Specialty Care Doing business as

National Provider Directory

National Provider Directory

Locations

2440 Bridge Ave
Albert Lea, MN 56007
Phone (507) 320-7900

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1245862697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST ST NW STE 101",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012932",
            "telephone_number": "641-428-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 BRIDGE AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072005",
            "telephone_number": "507-473-2249",
            "fax_number": "507-473-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IOWA MERCY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "ZOOK",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-428-7989"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Albert Lea Family Medicine & Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.