Organization
CATHOLIC HEALTH INITIATIVES IOWA CORP
Active
Parent organization
MERCY MEDICAL CENTER OF DES MOINES
Other names
Mercy Home Care DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER OF DES MOINES
Authorized official
REBECCA LENZ (DIRECTOR OF BILLING)
(515) 643-8727
Entity
Organization
Contact information
Practice address
603 E 12TH ST, 2ND FLOOR, DES MOINES, IA 50309-5515
(515) 643-0131
Mailing address
603 E 12TH ST, 2ND FLOOR, DES MOINES, IA 50309-5515
(515) 643-0131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110882
—
IA
01
—
67133
WELLMARK BLUE CROSS OF IO
IA
Enumeration date
07/02/2007
Last updated
08/12/2009
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