Organization
MERCY CLINICS INC
Active
Other names
MercyOne Pleasant Hill Pediatrics Care Clinic, MercyOne PleasantHill Fam Med Clinic/MercyOne PleasantHill UC Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHIPPLE (COO)
(515) 358-6956
Entity
Organization
Contact information
Practice address
5900 E UNIVERSITY AVE, SUITE 100, PLEASANT HILL, IA 50327-8457
(515) 643-2400
(515) 643-4766
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-2400
(515) 643-4766
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041962
—
IA
01
—
CD3776
RAILROAD MEDICARE
IA
Enumeration date
07/15/2006
Last updated
10/11/2024
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