Organization
MERCY MEDICAL SERVICES
Active
Other names
Kingsley Mercy Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN K. MONSMA (NETWORK EXECUTIVE DIRECTOR)
(712) 279-2400
Entity
Organization
Contact information
Practice address
801 5TH ST, STE 201, SIOUX CITY, IA 51101-1326
(712) 279-2400
(712) 279-5883
Mailing address
801 5TH ST, STE 201, SIOUX CITY, IA 51101-1326
(712) 279-2400
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WELLMARK BCBS IA
12293
IA
Enumeration date
02/02/2007
Last updated
09/11/2025
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