Mercy Medical Services

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MERCY MEDICAL SERVICES

Practice address

111 S 5TH St
Mapleton, IA 51034-1201

Phone

(712) 882-2234

Fax

(712) 882-2605

NPI assigned

Jun 2, 2006

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 1

Other names 1

• Maple Valley 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

  • Pharmacy
  • Clear Lake, IA
  • NPI 1639625155

  Member Of

  NPD member

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1801834064",
    "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": "111 S 5TH ST",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510341201",
            "telephone_number": "712-882-2234",
            "fax_number": "712-882-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0689356",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Valley Mercy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maier Family Pharmacy PC
• Edward Lee Maier, RPH
• Maple Valley Community School
• Mapleton Progress Inc
• Mercy Medical Services
• Nelinda J Rhode, ARNP
• Oathie Louis Robinson, PHARM.D.
• Emily Elaine Sandvold, LMT
• Derae Audra Schroeder, DNP, ARNP
• Jean Ann Theobald, RPH

• All providers in Mapleton, IA
• Rural Health Clinic/Center in Iowa

• 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.