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Organization
MERCY MEDICAL SERVICES
Active
Organization
MERCY MEDICAL SERVICES
Active
Other names
MercyOne Correctionville Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JESICA HANSON (VP FINANCE)
(712) 279-5850
Entity
Organization
Contact information
Practice address
1120 HIGHWAY 20, CORRECTIONVILLE, IA 51016-8055
(712) 372-4145
(712) 372-4138
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5830
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/03/2006
Last updated
10/18/2024
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