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MERCY CLINICS INC NPI 1669652061


NPI Information

NPI: 1669652061
Provider Name: MERCY CLINICS INC

Doing Business As: MERCY WEST PEDIATRIC CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1601 NW 114TH ST STE 345
CLIVE, IA
ZIP 50325
Phone: (515) 222-7337
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MERCY CLINICS INC is a clinic center in Clive, IA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MERCY CLINICS INC NPI is 1669652061. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy West Pediatric Clinic.

The provider's business location address is:

1601 NW 114TH ST STE 345
CLIVE, IA
ZIP 50325-036
Phone: (515) 222-7337
Fax: (515) 222-7340

The provider's authorized official is Sharon Phillips .
The authorized official title is Chief Operating Officer and has the following contact phone number (515) 358-6960.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 4/8/2019.


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
1261Q00000XClinic/CenterYes

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
11236174MEDICAIDIOWA
229003OTHERIOWAWELLMARK BLUE SHIELD

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: 4/28/2024

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