Mercyone Clear Lake Pharmacy
LBN: Mercy Health Services-Iowa Corp
Mercyone Clear Lake Pharmacy is an health care organization with primary practice located at 1410 6Th Ave S Ste 200 , Clear Lake IA 50428-2606. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Mercy Health Services-Iowa Corp can be contacted via phone (641) 231-8900, or through Trammel, Mark via phone (641) 428-7984.
Contact Information
Primary practice address
1410 6Th Ave S Ste 200
Clear Lake IA 50428-2606
Phone: (641) 231-8900
Fax: (641) 231-8910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 1579 | Iowa |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1639625155 |
---|---|
LBN Legal business name | Mercy Health Services-Iowa Corp |
DBA Doing business as | Mercyone Clear Lake Pharmacy |
Authorized official | Trammel, Mark |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 26th, 2016 |
Last updated | Sep 13th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639625155 | NPPES |
Other | 2163823 | PK | |
MEDICAID | 0409056 | PK |
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