| Mercy Services Iowa City, Inc. | |
|
206 Cookson Dr West Branch IA 52358-9632 | |
| (319) 643-2516 | |
| (319) 643-5720 |
| Full Name | Mercy Services Iowa City, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 206 Cookson Dr, West Branch, Iowa |
| Authorized Official Name and Position | Michele Ann Bogs (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 3193393540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Services Iowa City, Inc. 500 E Market St Iowa City IA 52245-2633 Ph: (319) 339-3540 | Mercy Services Iowa City, Inc. 206 Cookson Dr West Branch IA 52358-9632 Ph: (319) 643-2516 |
| NPI Number | 1972640449 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972640449 | NPI | - | NPPES |
| 2260869 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |