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NORTH IOWA MERCY CLINICS NPI 1093720708


NPI Information

NPI: 1093720708
Provider Name: NORTH IOWA MERCY CLINICS

Doing Business As: MERCYONE CLEAR LAKE PEDIATRIC & ADOLESCENT CLINIC

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 16D0982409

Address:
401 S 15TH ST
CLEAR LAKE, IA
ZIP 50428
Phone: (641) 357-7442
Get Directions

NORTH IOWA MERCY CLINICS is an adolescent medicine pediatrics in Clear Lake, IA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NORTH IOWA MERCY CLINICS NPI is 1093720708. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercyone Clear Lake Pediatric & Adolescent Clinic.

The provider's business location address is:

401 S 15TH ST
CLEAR LAKE, IA
ZIP 50428-303
Phone: (641) 357-7442
Fax: (641) 357-6020

The provider's authorized official is Danette A Zook .
The authorized official title is Vp Finanace and has the following contact phone number (641) 428-7989.

The CLIA number assigned to this NPI record is 16D0982409 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 11/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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