NPIMap

Organization Active NPI

North Iowa Mercy Clinics

  • Family Medicine Physician
  • Mason City, IA
National Provider Identifier
1588070072
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
170023H Issued in IA
Legal business name
NORTH IOWA MERCY CLINICS
Practice address
1631 4TH St SW
Suite 114
Mason City, IA 50401-1612
Phone
(641) 428-2511
Fax
(641) 428-6909
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Mrs. Danette Zook
Title
VP Finance
Phone
(641) 428-7989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 170023H IA Primary

Addresses

Primary practice location

1631 4TH St SW
Suite 114
Mason City, IA 50401-1612

Mailing address

621 S Illinois Ave
Suite 103
Mason City, IA 50401-5405
Phone (641) 428-3086

Other names 2

  • Mercy Urgent Care Doing business as
  • MercyOne Mason City Urgent Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mc.mmcmc.him@direct.2.mycarefile.org Direct MercyOne North Iowa

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

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
16D2268156Mercyone Urgent Care Mason City1631 4TH St SW Suite 114, Mason City, IA 50401Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Locations

803 9th Ave N
Northwood, IA 50459
Phone (641) 324-1221

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1588070072",
    "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": "504015405",
            "telephone_number": "641-428-3086",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 4TH ST SW",
            "address_2": "SUITE 114",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011612",
            "telephone_number": "641-428-2511",
            "fax_number": "641-428-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IOWA MERCY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "ZOOK",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "641-428-7989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "170023H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mc.mmcmc.him@direct.2.mycarefile.org",
            "affiliation": "Y",
            "endpointDescription": "Direct Email Address",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1631 4th St SW Ste 114",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504011612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mercy Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Mason City Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.