# MERCY ACO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY ACO, LLC
- **Other names:** MercyOne PHSO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720972045
- **Legal business name:** MERCY ACO, LLC
- **Authorized official:** SANGEETA SUTRADHAR (INTERIM VP)
- **Authorized official phone:** (515) 358-9147

## Contact information

- **Practice address:** 1449 NW 128TH ST STE 110, CLIVE, IA 50325-7425
- **Practice address phone:** (515) 358-9154
- **Practice address fax:** (515) 358-9161
- **Mailing address:** 1449 NW 128TH ST, BOX 3, CLIVE, IA 50325-7400
- **Mailing address phone:** (515) 358-9154
- **Mailing address fax:** (515) 358-9161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2025
- **Last updated:** 06/04/2025