Healthcare Provider Details

I. General information

NPI: 1215953856
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

5900 E UNIVERSITY AVE SUITE 100
PLEASANT HILL IA
50327-8457
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-2400
  • Fax: 515-643-4766
Mailing address:
  • Phone: 515-643-2400
  • Fax: 515-643-4766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY WHIPPLE
Title or Position: COO
Credential:
Phone: 515-358-6956