Organization
CATHOLIC HEALTH INITIATIVES-IOWA CORP
Active
Other names
Mercy Family Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID VELLINGA (PRES/CEO)
(515) 247-4278
Entity
Organization
Contact information
Practice address
250 LAUREL ST, DES MOINES, IA 50314-3024
(515) 643-4610
Mailing address
PO BOX 645, DES MOINES, IA 50303-0645
(515) 643-4610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160705
—
IA
01
—
40167
WELLMARK BLUE CROSS
IA
Enumeration date
12/29/2006
Last updated
11/28/2012
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