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NPI Code Detail

MEDICARE: MERCY CLINICS INC

MEDICARE: MERCY CLINICS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
2225X00000XOccupational Therapist
3261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083894463
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY CLINICS INC
Provider Business Mailing Address
First Line : PO BOX 674721
Second Line :
City : DALLAS
State : TX
Zip : 75267-4721
Country : US
Telephone Number : 515-643-2519
Fax Number : 641-787-3165
Provider Business Practice Location Address
First Line : 411 LAUREL ST STE 2100
Second Line :
City : DES MOINES
State : IA
Zip : 50314-3026
Country : US
Telephone Number : 515-247-3266
Fax Number : 515-643-8688
Authorized Official
Title or Position : COO
Name : BRADLEY WHIPPLE
Credential :
Telephone Number : 515-358-6956
Provider Enumeration Date : 11/14/2007
Last Update Date : 12/30/2025

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Directions to “MERCY CLINICS INC ” Practice Location

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