Organization
MERCY CLINICS, INC
Active
Other names
MercyOne Ankeny Pediatrics Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON PHILLIPS (CHIEF OPERATING OFFICER)
(515) 358-6960
Entity
Organization
Contact information
Practice address
800 E 1ST ST STE 2200, ANKENY, IA 50021-2077
(515) 643-9000
(515) 643-7509
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9000
(515) 643-7509
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450908
—
IA
Enumeration date
11/14/2007
Last updated
04/08/2019
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