# MARY GREELEY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARY GREELEY MEDICAL CENTER
- **Other names:** Mary Greeley Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720946536
- **Legal business name:** MARY GREELEY MEDICAL CENTER
- **Authorized official:** AMBER DEARDORFF (PRESIDENT/CEO)
- **Authorized official phone:** (515) 239-2105

## Contact information

- **Practice address:** 1111 DUFF AVE, AMES, IA 50010-5745
- **Practice address phone:** (515) 239-2011
- **Mailing address:** 1111 DUFF AVE, AMES, IA 50010-5745
- **Mailing address phone:** (515) 239-2011
- **Mailing address fax:** (515) 239-2060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/12/2026
- **Last updated:** 07/06/2026