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MERCY MEDICAL SERVICES NPI 1164466843


NPI Information

NPI: 1164466843
Provider Name: MERCY MEDICAL SERVICES

Doing Business As: BANCROFT MERCY MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
219 MAIN STREET
BANCROFT, NE
ZIP 68004
Phone: (402) 648-7606
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MERCY MEDICAL SERVICES is a rural health clinic center in Bancroft, NE. MERCY MEDICAL SERVICES NPI is 1164466843. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bancroft Mercy Medical Clinic.

The provider's business location address is:

219 MAIN STREET
BANCROFT, NE
ZIP 68004
Phone: (402) 648-7606

The provider's authorized official is Brian 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 6/15/2006 and was last updated on 4/20/2008.


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
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyNo
3363AM0700XPhysician AssistantMedicalNo
4261QR1300XClinic/CenterRural HealthYes

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
1092209MEDICARE PINNEBRASKA
2=========32MEDICAIDNEBRASKA
328-3837MEDICARE ID-TYPE UNSPECIFIEDNEBRASKARIVERBEND - FACILITY ID

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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