NPIMap

Organization Active NPI

Mercy Health Services-Iowa Corp.

  • Family Medicine Physician
  • Buffalo Center, IA
National Provider Identifier
1497862015
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY HEALTH SERVICES-IOWA CORP.
Practice address
115 N Main
Buffalo Center, IA 50424-0000
Phone
(641) 562-2424
Fax
(641) 562-2393
NPI assigned
Aug 23, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark Trammel
Title
VP Finance
Phone
(641) 428-7984

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

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 10

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000358 IA Part B Supplier - Clinic/Group Practice 7618884438 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
Practice locations: Mason City, IA

All facility ownership & control disclosures 14

Medicare enrollment files

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

115 N Main
Buffalo Center, IA 50424-0000

Mailing address

621 S Illinois Ave
Suite 103
Mason City, IA 50401-5489
Phone (641) 494-3041

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
58569OtherIAWELLMARK
0449991MedicaidIA

Other names 2

NPPES NPI Registry
  • MERCY FAMILY CLINIC-BUFFALO CENTER Doing business as
  • MercyOne Buffalo Center Family Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2023.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1497862015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-494-3041",
            "fax_number": "641-494-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504240000",
            "telephone_number": "641-562-2424",
            "fax_number": "641-562-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SERVICES-IOWA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "TRAMMEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "641-428-7984"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "58569",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449991",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY FAMILY CLINIC-BUFFALO CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY FAMILY CLINIC-BUFFALO CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Buffalo Center Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo Center, IA

Sources for this page

Verify at the official NPI Registry.