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MERCY MEDICAL SERVICES NPI 1134161151


NPI Information

NPI: 1134161151
Provider Name: MERCY MEDICAL SERVICES

Doing Business As: MERCY BEHAVIORAL CARE CLINIC

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1125 PIERCE ST
SIOUX CITY, IA
ZIP 51105
Phone: (712) 258-6780
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MERCY MEDICAL SERVICES is a counselor in Sioux City, IA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MERCY MEDICAL SERVICES NPI is 1134161151. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mercy Behavioral Care Clinic.

The provider's business location address is:

1125 PIERCE ST
SIOUX CITY, IA
ZIP 51105-485
Phone: (712) 258-6780
Fax: (712) 279-5883

The provider's authorized official is Brian K. Monsma .
The authorized official title is Executive Network Director and has the following contact phone number (712) 279-2925.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10421495MEDICAIDIOWA
252901MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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