Mercy Medical Center-Clinton, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

230032 Issued in IA

Legal business name

MERCY MEDICAL CENTER-CLINTON, INC.

Doing business as

Mercy Living Center North

Practice address

600 14TH Ave N
Clinton, IA 52732-2914

Phone

(563) 244-5676

Fax

(563) 244-5592

NPI assigned

Mar 6, 2007

Last updated

Jul 15, 2011By 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

Mr. Sean Williams

Title

President & Ceo

Phone

(563) 244-3530

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mercy Living Center North Doing business as

Listed as

Mercy Medical Center - ClintonCCN 162313

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Mar 4, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

13

Member of 1

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

• Mercy Medical Center-Clinton Inc

  dba Mercy Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Clinton, IA
  • NPI 1538139472

  Member Of

  NPD member

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anis U Ansari, M.D.

  • Nephrology Physician
  • Clinton, IA
  • NPI 1487602553

  Dialysis facility

  Care Compare affiliation Name & address match
• David M. Ringold, M.D.

  • Nephrology Physician
  • Dubuque, IA
  • NPI 1912967118

  Dialysis facility

  Care Compare affiliation Name & address match
• John Emmett Whalen, M.D.

  • Nephrology Physician
  • Dubuque, IA
  • NPI 1285694802

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1861522336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "563-244-5676",
            "fax_number": "563-244-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 14TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322914",
            "telephone_number": "563-244-5676",
            "fax_number": "563-244-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER-CLINTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "563-244-3530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "230032",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "230032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805838",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "230032",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Living Center North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Medical Center-Clinton, Inc. (MercyOne Clinton Medical Center Dialysis)
• Mercy Medical Center-Clinton, Inc. (Mercy Living Center South)
• Mercy Medical Center-Clinton, Inc.
• Mercy Medical Center-Clinton, Inc.
• Mercy Medical Center-Clinton, Inc.
• Mercy Medical Center-Clinton, Inc. (Wyndcrest Nursing Facility)
• Mercy Specialty Clinic (MercyOne Clinton North Health Plaza)
• Mercy Specialty Clinic (MercyOne Specialty Care)
• Mercy Specialty Clinic (MercyOne Clinton Urgent Care)
• Mercyone Urgentcare

• Skilled Nursing Facility in Clinton, IA
• Providers in Clinton, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.