Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary C Lally, BMBCH

Individual provider Family Medicine Physician · NPI 1417242587

Mary C Lally, BMBCH is a Hospitalist in Decorah, Iowa. Qualified in 2010, 16 years ago. Practices with CHI Health Clinic Specialty LLC, a 312-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
16
Licensed in
IA
In the registry since
2011
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Practice location Address checks out

901 Montgomery St
Decorah, IA 52101-2325
Phone: (563) 382-2911
Fax: (563) 387-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42083 (IA)

Record details

NPI number1417242587
Entity typeIndividual (Type 1)
GenderFemale
Credentials BMBCH
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESNovember 6, 2014
Mailing address901 Montgomery St, Decorah, IA 52101-2325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Chi Health Clinic Specialty Llc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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