Healthcare Provider Details

I. General information

NPI: 1831410661
Provider Name (Legal Business Name): MERCY CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 GREENE ST
ADEL IA
50003-1712
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-993-4656
  • Fax: 515-993-4532
Mailing address:
  • Phone: 515-993-4656
  • Fax: 515-993-4532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY WHIPPLE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 515-358-6956