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Organization

MERCY CLINICS INC

Active
Other names
Mercy West Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID H VELLINGA (PRESIDENT/CEO)
(515) 247-4278
Entity
Organization

Contact information

Practice address
1601 NW 114TH ST, SUITE 240, CLIVE, IA 50325-7036
(515) 222-7700
(515) 222-7138
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7700
(515) 222-7138

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0207316
IA
01
CD3776
RAILROAD MEDICARE
IA
Enumeration date
07/26/2006
Last updated
06/15/2011
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