# MERCY MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MercyOne Moville Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154960466
- **Authorized official:** JESICA HANSON (VP FINANCE)
- **Authorized official phone:** (641) 428-5850

## Contact information

- **Practice address:** 410 MAIN ST, MOVILLE, IA 51039-7715
- **Practice address phone:** (712) 873-5225
- **Mailing address:** 621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2020
- **Last updated:** 10/18/2024