Healthcare Provider Details

I. General information

NPI: 1194741694
Provider Name (Legal Business Name): MERCY CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5615 NW 86TH ST
JOHNSTON IA
50131-1738
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-6000
  • Fax: 515-643-6001
Mailing address:
  • Phone: 515-643-6000
  • Fax: 515-643-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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