NPIMap

Organization Active NPI

Mercy Health Services-Iowa Corp

Doing business as MercyOne Northwood Pharmacy

  • Community/Retail Pharmacy
  • Northwood, IA
National Provider Identifier
1316909484
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
546 Issued in IA
Legal business name
MERCY HEALTH SERVICES-IOWA CORP
Doing business as
MercyOne Northwood Pharmacy
Practice address
98 10TH St N
Northwood, IA 50459-1438
Phone
(641) 324-2116
Fax
(641) 324-1032
NPI assigned
Apr 4, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Boore Chad
Title
Market Chief Operating Officer
Phone
(641) 428-7349

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 546 IA Primary

Addresses

Primary practice location

98 10TH St N
Northwood, IA 50459-1438

Mailing address

PO Box 1159
Mason City, IA 50402-1159
Phone (641) 428-7917

Other names 1

  • MercyOne Northwood Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170606001785 IA Part B Supplier - Mass Immunization (Roster Biller Only) 7618884438 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sheffield, IA; Northwood, IA; Mason City, IA; Greene, IA; Clear Lake, IA
O20211027000863 IA DME Supplier - Pharmacy 7618884438 Practice locations: Northwood, IA

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercyone Northwood Pharmacy98 10TH St N, Northwood, IA 50459-1438(641) 324-2116 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 18, 1993

National Provider Directory

National Provider Directory
Tax ID family
M F C-Clear Lake16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

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

Locations (25 of 26)

1501 S Main St
#6
Charles City, IA 50616
Phone (515) 228-4044

1501 S Main St
Ste C
Charles City, IA 50616
Phone (641) 228-4044

707 Gilbert St
Charles City, IA 50616
Phone (641) 228-3467

104 E Traer St
Ste 101
Greene, IA 50636
Phone (641) 816-3013

505 S 1st Ave E
Lake Mills, IA 50450
Phone (641) 592-3900

1000 4th St SW
Ste 1OPT
Mason City, IA 50401
Phone (641) 422-7000

1000 4th St SW
Ste Psy
Mason City, IA 50401
Phone (641) 422-7797

1010 4th St SW
Ste 110
Mason City, IA 50401
Phone (641) 422-6109

1010 4th St SW
Ste 240
Mason City, IA 50401
Phone (641) 428-7766

1010 4th St SW
Ste 320
Mason City, IA 50401
Phone (515) 422-6671

1010 4th St SW
Ste Fp
Mason City, IA 50401
Phone (641) 428-6020

1501 4th St SW
Ste Wc
Mason City, IA 50401
Phone (641) 422-7498

250 S Crescent Dr
Ste 201
Mason City, IA 50401
Phone (641) 494-5340

250 S Crescent Dr
Ste M1100
Mason City, IA 50401
Phone (641) 494-5210

250 S Crescent Dr
Ste M1300
Mason City, IA 50401
Phone (641) 494-5360

250 S Crescent Dr
Ste M1400
Mason City, IA 50401
Phone (641) 494-5380

250 S Crescent Dr
Ste M2400
Mason City, IA 50401
Phone (641) 494-5290

621 S Illinois Ave
Ste 100
Mason City, IA 50401
Phone (641) 422-6900

621 S Illinois Ave
Ste 102
Mason City, IA 50401
Phone (641) 428-7597

910 N Eisenhower Ave
#C
Mason City, IA 50401
Phone (641) 428-6947

910 N Eisenhower Ave
Ste 110
Mason City, IA 50401
Phone (641) 428-2400

910 N Eisenhower Ave
Ste Ltc
Mason City, IA 50401
Phone (641) 428-6944

910 N Eisenhower Ave
Ste Mod
Mason City, IA 50401
Phone (641) 422-5244

910 N Eisenhower Ave
Ste Nep
Mason City, IA 50401
Phone (641) 428-7000

910 N Eisenhower Ave
Ste Rx
Mason City, IA 50401
Phone (515) 422-5630

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercyone Dyersville Medical CenterDyersville, IA, CCN 16Z378 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 19, 1998
Mercyone Dyersville Medical CenterDyersville, IA, CCN 161378 Hospital 5% Or Greater Indirect Ownership Interest (100%) Aug 19, 1998
Mercyone New Hampton Medical CenterNew Hampton, IA, CCN 161331 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 19, 1998
Mercyone New Hampton Medical Center Swing BedNew Hampton, IA, CCN 16Z331 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 23, 2018
Mercyone Dubuque Medical CenterDubuque, IA, CCN 160069 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Mercyone Clinton Medical CenterClinton, IA, CCN 160080 Hospital 5% Or Greater Indirect Ownership Interest (100%) Aug 19, 1998
Mercyone Dubuque Medical CenterDubuque, IA, CCN 16T069 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 2, 2015
Bethany HomeDubuque, IA, CCN 165584 Skilled nursing facility Adp of the SNF Dec 1, 1995
Rockwell Community Nursing HomeRockwell, IA, CCN 165406 Skilled nursing facility Adp of the SNF Dec 1, 2018
Mercyone North Iowa HospiceMason City, IA, CCN 161503 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 10, 2012
Mercyone Correctionville Family MedicineCorrectionville, IA, CCN 168934 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 19, 1998
Mercyone Kingsley Family MedicineKingsley, IA, CCN 163846 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 19, 1998
Mercyone Anthon Family MedicineAnthon, IA, CCN 168945 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 19, 1998
Mercyone Primghar Family MedicinePrimghar, IA, CCN 168987 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 19, 1998

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Practitioners & affiliated clinicians

Practitioners 187

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 187

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1316909484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1159",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504021159",
            "telephone_number": "641-428-7917",
            "fax_number": "641-428-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 10TH ST N",
            "city": "NORTHWOOD",
            "state": "IA",
            "postal_code": "504591438",
            "telephone_number": "641-324-2116",
            "fax_number": "641-324-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES-IOWA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "CHAD",
        "authorized_official_first_name": "BOORE",
        "authorized_official_title_or_position": "MARKET CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "641-428-7349"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Northwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northwood, IA

Sources for this page

Verify at the official NPI Registry.