Organization
MERCY HEALTH SERVICES/IOWA CORP.
Active
Other names
MERCY MASON CITY DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY G SCHLADER (CFO)
(641) 428-7349
Entity
Organization
Contact information
Practice address
910 N EISENHOWER AVE, MASON CITY, IA 50401-1525
(641) 428-7961
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 428-7961
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600643
—
IA
01
—
62312
WELLMARK
IA
Enumeration date
10/04/2006
Last updated
12/01/2011
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