Healthcare Provider Details

I. General information

NPI: 1821155284
Provider Name (Legal Business Name): HOUSE OF MERCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 CLARK ST
DES MOINES IA
50314-1964
US

IV. Provider business mailing address

1409 CLARK ST
DES MOINES IA
50314-1916
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-6500
  • Fax:
Mailing address:
  • Phone: 515-643-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: PAUL HEDINGER
Title or Position: VP FINANCE
Credential: CPA, CGMA
Phone: 515-643-8212