OrganizationActive
Mercy Specialty Clinic
NPI 1487218079 · Family Medicine Physician · Fulton, IL
Provider details
- NPI number
- 1487218079
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mellissa Wood, Coo/Cno(563) 244-5608
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1705 16th Ave
Fulton, IL 61252-9708
Phone: (815) 589-2121
Fax: (815) 589-4468
Approximate (ZIP-level) locationGet directions
Mailing address
621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Other names (DBA / former)
- Doing business as
- Mercyone Fulton Family Medicine
- Doing business as
- Mercyone Fulton Family Medicine
Registry dates
- Enumerated
- 2019-04-29
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.