| Family Medicine Of Urbandale, Mercy Clinic | |
|
4005 Nw Urbandale Drive Urbandale IA 50322-7914 | |
| (515) 643-9200 | |
| (515) 643-9247 |
| Full Name | Family Medicine Of Urbandale, Mercy Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4005 Nw Urbandale Drive, Urbandale, Iowa |
| Authorized Official Name and Position | Sharon Phillips (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5156437238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Urbandale, Mercy Clinic Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-4374 | Family Medicine Of Urbandale, Mercy Clinic 4005 Nw Urbandale Drive Urbandale IA 50322-7914 Ph: (515) 643-9200 |
| NPI Number | 1083636815 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083636815 | NPI | - | NPPES |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| 0262725 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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