Organization
MERCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K. MONSMA (NETWORK EXECUTIVE DIRECTOR)
(712) 279-2925
Entity
Organization
Contact information
Practice address
801 5TH ST, SUITE 201, SIOUX CITY, IA 51101-1394
(712) 279-2925
(712) 279-5883
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5830
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417873
—
IA
Enumeration date
06/12/2006
Last updated
10/22/2007
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