MEDICARE: MERCY CLINICS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CD3776	OTHER	IA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063438729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY CLINICS, INC

Provider Business Mailing Address
First Line	:	PO BOX 1475
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50305-1475
Country	:	US
Telephone Number	:	515-358-7271
Fax Number	:	515-358-7294

Provider Business Practice Location Address
First Line	:	1601 NW 114TH ST
Second Line	:
City	:	CLIVE
State	:	IA
Zip	:	50325-7007
Country	:	US
Telephone Number	:	515-222-7000
Fax Number	:	515-222-7037

Authorized Official
Title or Position	:	COO
Name	:	BRADLEY WHIPPLE
Credential	:
Telephone Number	:	515-358-6956

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	10/10/2024

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Directions to “MERCY CLINICS, INC ” Practice Location

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