Healthcare Provider Details

I. General information

NPI: 1700066198
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: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8421 PLUM DR
DES MOINES IA
50322-7356
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-9699
  • Fax: 515-643-9698
Mailing address:
  • Phone: 515-643-4374
  • Fax: 515-643-2784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LENZ
Title or Position: DIRECTOR
Credential:
Phone: 515-643-8727