Organization
MERCY MEDICAL SERVICES
Active
Other names
Cardiology Outreach Clinics to Nebraska
Organization subpart
No
Provider details
NPI number
Authorized official
JESICA HANSON (VP FINANCE)
(712) 279-5850
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
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414607
—
IA
Enumeration date
06/13/2006
Last updated
10/18/2024
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