Organization Active NPI

Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Bellevue, IA
National Provider Identifier
1851611990
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
310003H Issued in IA
Legal business name
MERCY MEDICAL CENTER-DUBUQUE
Practice address
200 N 2ND St
Bellevue, IA 52031-1230
Phone
(596) 387-2598
Fax
(563) 589-8073
NPI assigned
Jun 10, 2010
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Mr. Russel M Knight
Title
Resident/Ceo
Phone
(563) 589-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 310003H IA Primary

Addresses

Primary practice location

200 N 2ND St
Bellevue, IA 52031-1230

Mailing address

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center Dubuque3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 N 2nd St
Bellevue, IA 52031
Phone (563) 872-5989

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1851611990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MERCY DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017320",
            "telephone_number": "563-589-8000",
            "fax_number": "563-589-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 2ND ST",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520311230",
            "telephone_number": "596-387-2598",
            "fax_number": "563-589-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER-DUBUQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RESIDENT/CEO",
        "authorized_official_telephone_number": "563-589-8061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "310003H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.