Healthcare Provider Details

I. General information

NPI: 1548440928
Provider Name (Legal Business Name): MERCY CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date: 12/17/2007
Reactivation Date: 02/06/2008

III. Provider practice location address

800 E 1ST ST STE 2000
ANKENY IA
50021-2077
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-7555
  • Fax: 515-643-7560
Mailing address:
  • Phone: 515-643-7555
  • Fax: 515-643-7560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIA

VIII. Authorized Official

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