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MERCY CLINICS INC NPI 1407036262


NPI Information

NPI: 1407036262
Provider Name: MERCY CLINICS INC

Doing Business As: MERCYONE DES MOINES PEDIATRICS CARE CLINC

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 16D0383703

Address:
330 LAUREL ST
SUITE 2100
DES MOINES, IA
ZIP 50314
Phone: (515) 643-8611
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MERCY CLINICS INC is an adolescent medicine pediatrics in Des Moines, IA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MERCY CLINICS INC NPI is 1407036262. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mercyone Des Moines Pediatrics Care Clinc.

The provider's business location address is:

330 LAUREL ST
SUITE 2100
DES MOINES, IA
ZIP 50314-034
Phone: (515) 643-8611
Fax: (515) 643-8812

The provider's authorized official is Sharon Phillips .
The authorized official title is Vp Primary Care Division and has the following contact phone number (515) 358-6960.

The CLIA number assigned to this NPI record is 16D0383703 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 4/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10236174MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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