Provider Type Icon

MERCY CLINICS INC NPI 1710903364


NPI Information

NPI: 1710903364
Provider Name: MERCY CLINICS, INC

Doing Business As: MERCYONE BEAVERDALE FAMILY MEDICINE CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 16D0383623

Address:
1750 48TH ST
SUITE 1
DES MOINES, IA
ZIP 50310
Phone: (515) 271-6333
Get Directions

MERCY CLINICS, INC is a primary care clinic center in Des Moines, IA. MERCY CLINICS, INC NPI is 1710903364. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercyone Beaverdale Family Medicine Clinic.

The provider's business location address is:

1750 48TH ST
SUITE 1
DES MOINES, IA
ZIP 50310-988
Phone: (515) 271-6333
Fax: (515) 271-6175

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 CLIA number assigned to this NPI record is 16D0383623 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/15/2006 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
1261QP2300XClinic/CenterPrimary CareYes

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
10114983MEDICAIDIOWA
2CD3776OTHERIOWARAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.