Organization
MERCY CLINICS INC
Active
Other names
MercyOne Clive ENT Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHIPPLE (CHIEF OPERATING OFFICER)
(515) 358-6956
Entity
Organization
Contact information
Practice address
1601 NW 114TH ST, SUITE 230, CLIVE, IA 50325-7007
(515) 222-7761
(515) 222-7926
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7761
(515) 222-7926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210005
—
IA
Enumeration date
11/14/2007
Last updated
10/11/2024
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