Organization
MERCY CLINICS INC
Active
Other names
Mercy Clinics Internal Medicine Central Campus, MercyOne Des Moines Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON PHILLIPS (CHIEF OPERATING OFFICER)
(515) 358-6960
Entity
Organization
Contact information
Practice address
411 LAUREL ST STE A120, DES MOINES, IA 50314-3027
(515) 643-5700
(515) 643-5739
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-5700
(515) 643-5739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256370
—
IA
01
—
CD3776
RAILROAD MEDICARE
IA
Enumeration date
07/15/2006
Last updated
04/08/2019
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