Organization
MERCY CLINICS, INC.
Active
Parent organization
MERCY CLINICS, INC.
Other names
MercyOne East Village Family Medicine Clinic, MercyOne East Village Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINICS, INC.
Authorized official
BRADLEY WHIPPLE (COO)
(515) 358-6956
Entity
Organization
Contact information
Practice address
1350 DES MOINES ST STE 110, DES MOINES, IA 50309-5507
(515) 643-0833
(515) 643-0933
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-0833
(515) 643-0933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450163
—
IA
01
—
CD3776
RAILROAD MEDICARE
IA
Enumeration date
07/19/2006
Last updated
10/11/2024
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