NPIMap

Organization Active NPI

North Iowa Mercy Clinics

Doing business as Mercy Family Care Charles City

  • Family Medicine Physician
  • Charles City, IA
National Provider Identifier
1447413703
Registry record updated Jul 21, 2022
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
Mercy Family Care Charles City
Practice address
1624 S Grand Ave
Charles City, IA 50616-3653
Phone
(641) 228-5555
NPI assigned
Jul 8, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Danette A Zook
Title
VP Finance
Phone
(641) 428-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1624 S Grand Ave
Charles City, IA 50616-3653

Mailing address

PO Box 1894
Mason City, IA 50402-1894
Phone (641) 494-3041

Other names 1

  • Mercy Family Care Charles City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000273 IA Part B Supplier - Clinic/Group Practice 7810809076 Receives reassigned benefits from 477 practitioners
39 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 39

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

View all 39

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447413703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1894",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504021894",
            "telephone_number": "641-494-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S GRAND AVE",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163653",
            "telephone_number": "641-228-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IOWA MERCY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZOOK",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "641-428-7898"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Family Care Charles City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charles City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.