Organization Active NPI

Mercy Terrace Hill Surgery Center, LLC

Doing business as Mercy River Hills Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Grimes, IA
National Provider Identifier
1467511899
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MERCY TERRACE HILL SURGERY CENTER, LLC
Doing business as
Mercy River Hills Surgery Center
River Hills Surgery Center
Practice address
3201 SE 37TH Street
Grimes, IA 50111
Phone
(515) 323-6400
Fax
(515) 247-9549
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Bridget Sue Weaver, MHA
Title
Director of Surgery
Phone
(515) 247-9532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3201 SE 37TH Street
Grimes, IA 50111

Mailing address

PO Box 4926
Des Moines, IA 50305
Phone (515) 323-6400

Other identifiers 2

IdentifierTypeStateIssuer
0610147MedicaidIA
61014OtherIAWELLMARK OF IOWA

Other names 2

  • Mercy River Hills Surgery Center Doing business as
  • River Hills Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000536 IA Part B Supplier - Ambulatory Surgical Center 2668416694 Practice locations: Grimes, IA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mercy River Hills Surgery CenterCCN 16C0001002
Medicare certification status
ActiveFrom the Provider of Services file

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0979847Mercy River Hills Surgery Center3201 SE 37TH St, Grimes, IA 50111Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory

Member of 2

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

Locations

450 Laurel St
Ste D
Des Moines, IA 50314
Phone (515) 271-1735

3200 Grand Ave
Fl 9
Des Moines, IA 50312
Phone (515) 271-1735

3201 SE 37th St
Grimes, IA 50111
Phone (515) 247-9532

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1467511899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4926",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50305",
            "telephone_number": "515-323-6400",
            "fax_number": "515-247-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SE 37TH STREET",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "50111",
            "telephone_number": "515-323-6400",
            "fax_number": "515-247-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY TERRACE HILL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF SURGERY",
        "authorized_official_telephone_number": "515-247-9532",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610147",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK OF IOWA",
            "identifier": "61014",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy River Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy River Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.