Mercy Medical Services

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MERCY MEDICAL SERVICES

Doing business as

Wayne Mercy Medical Clinic

Practice address

615 E 14TH St
Wayne, NE 68787-1152

Phone

(402) 375-2500

Fax

(402) 375-2463

NPI assigned

Jun 3, 2006

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Monsma

Title

Executive Network Director

Phone

(712) 279-2925

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Wayne Mercy Medical Clinic Doing business as

Member of 1

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

• Mercy Health Services-Iowa Corp.

  • Community/Retail Pharmacy
  • Mason City, IA
  • NPI 1962591370

  Member Of

  NPD member

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1720026461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020328",
            "telephone_number": "712-279-5830",
            "fax_number": "712-279-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 14TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871152",
            "telephone_number": "402-375-2500",
            "fax_number": "402-375-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "MONSMA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE NETWORK DIRECTOR",
        "authorized_official_telephone_number": "712-279-2925"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252197-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0715037",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Mercy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia McCormick
• Ethan McCraney
• Jasmyne McDonald
• Angela McLaughlin
• Collin McPartlan
• Cindy Meyer, RN
• Heidi M Meyers
• Midtown Health Center, Inc. (Midtown Health Center--Wayne State College)
• Josephine Mikoloyck
• John Miller, PT, DPT

• Rural Health Clinic/Center in Wayne, NE
• Providers in Wayne, NE by specialty
• Rural Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.