| Mercyone Beaverdale Family Medicine Clinic | |
|
1750 48th St Suite 1 Des Moines IA 50310-1988 | |
| (515) 271-6333 | |
| (515) 271-6175 |
| Full Name | Mercyone Beaverdale Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1750 48th St, Des Moines, Iowa |
| Authorized Official Name and Position | Bradley Whipple (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5153586956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Beaverdale Family Medicine Clinic Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 271-6333 | Mercyone Beaverdale Family Medicine Clinic 1750 48th St Suite 1 Des Moines IA 50310-1988 Ph: (515) 271-6333 |
| NPI Number | 1710903364 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710903364 | NPI | - | NPPES |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| 0114983 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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