MERCY CLINICS INC NPI 1407036262

NPI Information

  • NPI: 1407036262
  • Provider Name: MERCY CLINICS INC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Doing Business As: MERCYONE DES MOINES PEDIATRICS CARE CLINC
  • CLIA Number: 16D0383703
  • Address: 330 LAUREL ST
    SUITE 2100
    DES MOINES, IA
    ZIP 50314
  • Phone: (515) 643-8611

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NPI Details

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 Bradley Whipple .
The authorized official title is Coo and has the following contact phone number (515) 358-6956.

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

The enumeration date for this NPI number is 11/9/2007 and was last updated on 10/11/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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