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MERCY CLINICS INC NPI 1861749335


NPI Information

NPI: 1861749335
Provider Name: MERCY CLINICS, INC

Doing Business As: MERCYONE GRAND AVENUE FAMILY MEDICINE CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 16D0855682

Address:
119 19TH ST
SUITE 106
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 226-0112
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MERCY CLINICS, INC is a clinic center in West Des Moines, 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 1861749335. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercyone Grand Avenue Family Medicine Clinic.

The provider's business location address is:

119 19TH ST
SUITE 106
WEST DES MOINES, IA
ZIP 50265-226
Phone: (515) 226-0112
Fax: (515) 226-0208

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

The CLIA number assigned to this NPI record is 16D0855682 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/14/2012 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

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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