Organization
MERCY MEDICAL CENTER NORTH IOWA
Active
Other names
MERCY PHYCHIATRIC PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY G SCHLADER (CFO)
(641) 422-7349
Entity
Organization
Contact information
Practice address
1000 4TH ST SW, SUITE PSY, MASON CITY, IA 50401-2800
(641) 422-7797
(641) 422-7516
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282715
—
IA
01
—
33472
WELLMARK
IA
Enumeration date
09/05/2006
Last updated
11/24/2020
Update your record
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