Healthcare Provider Details

I. General information

NPI: 1407034168
Provider Name (Legal Business Name): MERCY CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SKYWALK LEVEL, EQUITABLE BLDG 604 LOCUST ST - STE 210
DES MOINES IA
50309
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-282-7219
  • Fax:
Mailing address:
  • Phone: 515-643-4374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID SWIESKOWSKI
Title or Position: MD/VP
Credential:
Phone: 515-643-7150