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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1831410661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY CLINICS, INC

Provider Business Mailing Address
First Line	:	PO BOX 1475
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50305-1475
Country	:	US
Telephone Number	:	515-993-4656
Fax Number	:	515-993-4532

Provider Business Practice Location Address
First Line	:	1120 GREENE ST
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-1712
Country	:	US
Telephone Number	:	515-993-4656
Fax Number	:	515-993-4532

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	BRADLEY WHIPPLE
Credential	:
Telephone Number	:	515-358-6956

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	10/10/2024

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Directions to “MERCY CLINICS, INC ” Practice Location

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