Active NPI
North Iowa Mercy Clinics
- Family Medicine Physician
- Albert Lea, MN
National Provider Identifier
1245862697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.