Organization
MERCY MEDICAL SERVICES
Active
Other names
Mercy Dakota Dunes Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K. MONSMA (EXECUTIVE NETWORK DIRECTOR)
(712) 279-2925
Entity
Organization
Contact information
Practice address
330 DAKOTA DUNES BLVD, DAKOTA DUNES, SD 57049-0000
(712) 294-7440
(712) 294-7439
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
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SD
Enumeration date
06/07/2006
Last updated
09/11/2008
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