Organization Name: | MERCY CLINICS INC |
NPI Number: | 1083636815 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON PHILLIPS (CHIEF OPERATING OFFICER) |
Mailing Address: | 4005 Nw Urbandale Drive Urbandale |
State: | IA US |
Postal Code: | 503227914 |
Phone Number: | 5156439200 |
Fax Number: | 5156439247 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |