| Mercyone South Des Moines Family Medicine Clinic | |
|
6601 Sw 9th St Des Moines IA 50315-6138 | |
| (515) 643-9400 | |
| (515) 643-9405 |
| Full Name | Mercyone South Des Moines Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6601 Sw 9th St, Des Moines, Iowa |
| Authorized Official Name and Position | Bradley Whipple (COO) |
| Authorized Official Contact | 5153586956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone South Des Moines Family Medicine Clinic Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-9400 | Mercyone South Des Moines Family Medicine Clinic 6601 Sw 9th St Des Moines IA 50315-6138 Ph: (515) 643-9400 |
| NPI Number | 1952327470 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952327470 | NPI | - | NPPES |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| 0120444 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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