NPIMap

Organization Active NPI

North Iowa Mercy Clinics

Doing business as Mercy Heart Center Clinic-Cresco

  • Interventional Cardiology Physician
  • Cresco, IA
National Provider Identifier
1730259987
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
NORTH IOWA MERCY CLINICS
Doing business as
Mercy Heart Center Clinic-Cresco
Practice address
235 8TH Ave W
Cresco, IA 52136-1062
Phone
(563) 547-2101
NPI assigned
Nov 8, 2006
Last updated
Nov 30, 2020By the provider in NPPES
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
Rodney G Schlader
Title
Cfo
Phone
(641) 422-7349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Primary

Addresses

Primary practice location

235 8TH Ave W
Cresco, IA 52136-1062

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0475442MedicaidIA
39009OtherIAWELLMARK

Other names 1

  • MERCY HEART CENTER CLINIC-CRESCO Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heartcenternurse@mcclinic.direct-ci.net Direct Regional Health services of howard

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

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1730259987",
    "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": "235 8TH AVE W",
            "city": "CRESCO",
            "state": "IA",
            "postal_code": "521361062",
            "telephone_number": "563-547-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH IOWA MERCY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHLADER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-422-7349"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475442",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "39009",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heartcenternurse@mcclinic.direct-ci.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Email Address",
            "affiliationName": "Regional Health services of howard",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "321 8th Ave W",
            "city": "Cresco",
            "state": "IA",
            "country_code": "US",
            "postal_code": "521361064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MERCY HEART CENTER CLINIC-CRESCO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY HEART CENTER CLINIC-CRESCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cresco, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.