Organization Active NPI

Mercy Medical Center-Clinton, Inc.

Doing business as Wyndcrest Nursing Facility

  • Skilled Nursing Facility
  • Clinton, IA
National Provider Identifier
1881724318
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230056H Issued in IA
Legal business name
MERCY MEDICAL CENTER-CLINTON, INC.
Doing business as
Wyndcrest Nursing Facility
Practice address
1410 N 4TH St
Clinton, IA 52732-2940
Phone
(563) 244-5676
Fax
(563) 244-5592
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230056H IA Primary

Addresses

Primary practice location

1410 N 4TH St
Clinton, IA 52732-2940

Mailing address

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5676

Other names 1

  • Wyndcrest Nursing Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1881724318",
    "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": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "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": "2011-06-15",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "230056H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyndcrest Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.