Organization
MERCY ACO, LLC
Active
Parent organization
MERCY ACO, LLC
Other names
MercyOne PHSO
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY ACO, LLC
Authorized official
SANGEETA SUTRADHAR (INTERIM VP)
(515) 358-9147
Entity
Organization
Contact information
Practice address
1449 NW 128TH ST STE 110, CLIVE, IA 50325-7425
(515) 358-9154
(515) 358-9161
Mailing address
1449 NW 128TH ST, BOX 3, CLIVE, IA 50325-7400
(515) 358-9154
(515) 358-9161
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/04/2025
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