Organization
MERCY MEDICAL SERVICES
Active
Other names
Mercy Behavioral Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K. MONSMA (EXECUTIVE NETWORK DIRECTOR)
(712) 279-2925
Entity
Organization
Contact information
Practice address
1125 PIERCE ST, SIOUX CITY, IA 51105-1485
(712) 258-6780
(712) 279-5883
Mailing address
PO BOX 1836, SIOUX CITY, IA 51102-1836
(712) 279-5830
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421495
—
IA
Enumeration date
06/12/2006
Last updated
11/14/2007
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