Organization
MERCY CLINICS, INC
Active
Other names
MercyOne Bone Density Testing, MercyOne Medical Group - Central Iowa
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHIPPLE (COO)
(515) 358-6956
Entity
Organization
Contact information
Practice address
1601 NW 114TH ST, CLIVE, IA 50325-7007
(515) 222-7000
(515) 222-7037
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-7271
(515) 358-7294
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210005
—
IA
05
—
0235762
—
IA
05
—
0236174
—
IA
05
—
0251983
—
IA
05
—
0273052
—
IA
05
—
0274811
—
IA
05
—
0427468
—
IA
05
—
0450908
—
IA
05
—
0451906
—
IA
05
—
1236174
—
IA
01
—
CD3776
RAILROAD MEDICARE
IA
Enumeration date
07/14/2006
Last updated
10/10/2024
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