| Mercy West Internal Medicine | |
|
1601 Nw 114th St Suite 240 Clive IA 50325-7036 | |
| (515) 222-7700 | |
| (515) 222-7138 |
| Full Name | Mercy West Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1601 Nw 114th St, Clive, Iowa |
| Authorized Official Name and Position | David H Vellinga (PRESIDENT/CEO) |
| Authorized Official Contact | 5152474278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy West Internal Medicine Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 222-7700 | Mercy West Internal Medicine 1601 Nw 114th St Suite 240 Clive IA 50325-7036 Ph: (515) 222-7700 |
| NPI Number | 1225051329 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225051329 | NPI | - | NPPES |
| 0207316 | Medicaid | IA | |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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