# MERCY CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinics Internal Medicine Central Campus, MercyOne Des Moines Internal Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942226550
- **Authorized official:** SHARON PHILLIPS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (515) 358-6960

## Contact information

- **Practice address:** 411 LAUREL ST STE A120, DES MOINES, IA 50314-3027
- **Practice address phone:** (515) 643-5700
- **Practice address fax:** (515) 643-5739
- **Mailing address:** PO BOX 1475, DES MOINES, IA 50305-1475
- **Mailing address phone:** (515) 643-5700
- **Mailing address fax:** (515) 643-5739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | IA | — |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 04/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0256370 | — | IA |
| 01 | — | CD3776 | RAILROAD MEDICARE | IA |
