Organization
MERCY CLINICS INC
Active
Other names
Van Oort Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LENZ (DIRECTOR)
(515) 643-8727
Entity
Organization
Contact information
Practice address
302 SW WALNUT ST, ANKENY, IA 50023-3042
(515) 964-8993
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 543-4374
(515) 643-2784
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400636
—
IA
01
—
CD3776
RAILROAD MEDICARE
IA
Enumeration date
12/12/2007
Last updated
02/08/2008
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