MERCY SPECIALTY CLINIC NPI 1386832764

NPI Information

  • NPI: 1386832764
  • Provider Name: MERCY SPECIALTY CLINIC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: MERCYONE SPECIALTY CARE
  • CLIA Number: 16D0917035
  • Address: 1410 NORTH 4TH STREET
    CLINTON, IA
    ZIP 52732
  • Phone: (563) 244-5900

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NPI Details

MERCY SPECIALTY CLINIC is a multi-specialty clinic center in Clinton, IA. MERCY SPECIALTY CLINIC NPI is 1386832764. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercyone Specialty Care.

The provider's business location address is:

1410 NORTH 4TH STREET
CLINTON, IA
ZIP 52732-940
Phone: (563) 244-5900
Fax: (563) 244-5901

The provider's authorized official is Mellissa Wood .
The authorized official title is Coo/cno and has the following contact phone number (563) 244-5608.

The CLIA number assigned to this NPI record is 16D0917035 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/17/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
171222OTHERIOWAWELLMARK
2DG7041OTHERIOWARR MEDICARE
31386832764MEDICAIDIOWA
4DG7041OTHERRAILROAD MEDICARE

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: 11/21/2025

NPI Synchronization or Removal

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