Organization
MERCY MEDICAL SERVICES
Active
Other names
MercyOne Cherokee Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH A BALLANTYNE (MANAGER/PROVIDER ENROLLMENT)
(641) 428-3086
Entity
Organization
Contact information
Practice address
212 E BOW DR, CHEROKEE, IA 51012-1215
(712) 225-6431
(641) 428-3086
Mailing address
621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
(641) 428-3086
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/27/2018
Last updated
02/20/2020
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