Mercy Health Services-Iowa Corp
Pharmacy, Community/Retail Pharmacy in Greene, IA. Organization (NPI-2).
NPI number1003221979
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1003221979
- Entity type
- Organization (NPI-2)
- Legal business name
- Mercy Health Services-Iowa Corp
- Organization subpart
- No
- Enumeration date
- Jun 30, 2014
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 1508 | IA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Mercyone Greene Pharmacy (Other Name)
Practice location
104 E Traer StGreene, IA 50636-7702
Phone 641-816-3013 · Fax 641-816-3015
Mailing address
Po Box 1159Mason City, IA 50402-1159
Phone 641-428-7917 · Fax 641-428-8635
Authorized official
Mark Trammel
Asst Treasurer
6414287984
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