# MERCY MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366484263
- **Authorized official:** BRIAN K. MONSMA (NETWORK EXECUTIVE DIRECTOR)
- **Authorized official phone:** (712) 279-2925

## Contact information

- **Practice address:** 801 5TH ST, SUITE 201, SIOUX CITY, IA 51101-1394
- **Practice address phone:** (712) 279-2925
- **Practice address fax:** (712) 279-5883
- **Mailing address:** PO BOX 328, SIOUX CITY, IA 51102-0328
- **Mailing address phone:** (712) 279-5830
- **Mailing address fax:** (712) 279-5883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 10/22/2007