# MERCY HEALTH SERVICES-IOWA CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MercyOne Mason City Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801975065
- **Authorized official:** MARK TRAMMEL (ASST TREASURER)
- **Authorized official phone:** (641) 428-7984

## Contact information

- **Practice address:** 910 N EISENHOWER AVE, MASON CITY, IA 50401-1525
- **Practice address phone:** (641) 428-6944
- **Practice address fax:** (641) 428-6946
- **Mailing address:** PO BOX 1159, MASON CITY, IA 50402-1159
- **Mailing address phone:** (641) 428-6944
- **Mailing address fax:** (641) 428-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 1140 | IA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 10/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00223750 | — | IA |
| 05 | — | 143410100 | — | MN |
| 01 | — | 2030059 | PK | — |