Organization Active NPI

Mercy Hospital, Iowa City, Iowa

  • Home Health Agency
  • Iowa City, IA
National Provider Identifier
1386620029
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCY HOSPITAL, IOWA CITY, IOWA
Practice address
540 E Jefferson St Ste 305
Iowa City, IA 52245-2479
Phone
(319) 358-2740
Fax
(319) 358-2760
NPI assigned
Dec 15, 2005
Last updated
May 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITAL, IOWA CITY, IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Michele Ann Bogs
Title
Executive Assistant
Phone
(319) 339-3540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

540 E Jefferson St Ste 305
Iowa City, IA 52245-2479

Mailing address

540 E Jefferson St Ste 305
Iowa City, IA 52245-2479
Phone (319) 358-2740

Other identifiers 2

IdentifierTypeStateIssuer
67181OtherIABLUE CROSS BLUE SHIELD
0671818MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Mercy Hospital Ia City Iowa

Member of 1

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

Locations

540 E Jefferson St
Ste 305
Iowa City, IA 52245
Phone (319) 358-2740

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 31, 2024 Change of OwnershipThis provider was the seller University of Iowa Health Care Medical Center Downtown Home HealthCCN 167181, IA, NPI 1396511473

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1386620029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E JEFFERSON ST STE 305",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452479",
            "telephone_number": "319-358-2740",
            "fax_number": "319-358-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E JEFFERSON ST STE 305",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452479",
            "telephone_number": "319-358-2740",
            "fax_number": "319-358-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL, IOWA CITY, IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL, IOWA CITY, IOWA",
        "enumeration_date": "2005-12-15",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "BOGS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "319-339-3540"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "67181",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671818",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.