Active NPI
Mercy Hospital, Iowa City, Iowa
- Home Health Agency
- Iowa City, IA
National Provider Identifier
1386620029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- MERCY HOSPITAL, IOWA CITY, IOWA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67181 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0671818 | Medicaid | IA |
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.
-
dba Mercy Iowa City Professional Services
- Emergency Medicine Physician
- Iowa City, IA
- NPI 1124089347
Member Of
Locations
540 E Jefferson St
Ste 305
Iowa City, IA 52245
Phone (319) 358-2740
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 31, 2024 | Change of Ownership | University of Iowa Health Care Medical Center Downtown Home Health |
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.
-
dba Mercy Hospital
- General Acute Care Hospital
- Iowa City, IA
- NPI 1982664124
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
- Mentor Abi,LLC D/B/a Neurorestorative Iowa (NeuroRestorative Iowa)
- Evea Menzel
- Thomas Dhia Meram, MD
- Mercy Hospital (Mercy Hospital Pharmacy)
- Mercy Hospital, Iowa City, Iowa (Mercy Iowa City Professional Services)
- Mercy Hospital, Iowa City, Iowa (Mercy Hospital)
- Mercy Iowa City
- Mercy One Transport
- Mercy Services Iowa City, Inc.
- Mercy Services Iowa City, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.