Organization
MERCY CLINICS, INC
Active
Other names
Mercy Clinics Internal Medicine Urbandale, MercyOne Urbandale Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLY WHIPPLE (CHIEF OPERATING OFFICER)
(515) 358-6956
Entity
Organization
Contact information
Practice address
4005 NW URBANDALE DRIVE, URBANDALE, IA 50322-7914
(515) 643-9500
(515) 643-9525
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9500
(515) 643-9525
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736199
—
IA
01
—
CD3776
RAILROAD MEDICARE
IA
Enumeration date
10/20/2006
Last updated
10/11/2024
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