Mercyone Clear Lake Family Medicine

LBN: North Iowa Mercy Clinics
Mercyone Clear Lake Family Medicine is an health care organization with primary practice located at 1410 6Th Ave S , Clear Lake IA 50428-2606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. North Iowa Mercy Clinics can be contacted via phone (641) 357-2191, or through Zook, Danette A via phone (641) 428-7989.

Contact Information

Primary practice address
1410 6Th Ave S Clear Lake IA 50428-2606
Fax: (641) 357-6020
Website:
Authorized official contact:
Name: Zook, Danette A

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1790895654
LBN Legal business name North Iowa Mercy Clinics
DBA Doing business as Mercyone Clear Lake Family Medicine
Authorized official Zook, Danette A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 30th, 2020 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790895654 NPPES
Iowa MEDICAID 0223032
Iowa Other 16995

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