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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
1261QM2500XMedical Specialty Clinic/CenterIA
2207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CD3776OTHERIARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942226550
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 : 515-643-5700
Fax Number : 515-643-5739
Provider Business Practice Location Address
First Line : 411 LAUREL ST STE A120
Second Line :
City : DES MOINES
State : IA
Zip : 50314-3027
Country : US
Telephone Number : 515-643-5700
Fax Number : 515-643-5739
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : SHARON PHILLIPS
Credential :
Telephone Number : 515-358-6960
Provider Enumeration Date : 07/15/2006
Last Update Date : 04/08/2019

Similar Medicare Providers

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Practice Location Address:
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50314-3027
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Practice Fax: 515-643-7901
1164408548 — DR. MAXWELL S COSMIC MD
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1154307536 — DR. RAVI K VEMURI MD
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Practice Fax: 515-643-7901
1770569154 — DR. NEIL R HORNING MD
Practice Location Address:
411 LAUREL ST STE A120
DES MOINES, IA
50314-3027
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Practice Fax: 515-225-6750
1619953627 — DR. MICHAEL C WITTE DO
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1255303400 — DAVID SCOTT KERMODE D.O.
Practice Location Address:
411 LAUREL ST STE 3300
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Directions to “MERCY CLINICS INC ” Practice Location

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