| Mercyone Bone Density Testing | |
|
1601 Nw 114th St Clive IA 50325-7007 | |
| (515) 222-7000 | |
| (515) 222-7037 |
| Full Name | Mercyone Bone Density Testing |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1601 Nw 114th St, Clive, 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 Bone Density Testing Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 358-7271 | Mercyone Bone Density Testing 1601 Nw 114th St Clive IA 50325-7007 Ph: (515) 222-7000 |
| NPI Number | 1063438729 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063438729 | NPI | - | NPPES |
| 0427468 | Medicaid | IA | |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| 0273052 | Medicaid | IA | |
| 1236174 | Medicaid | IA | |
| 0210005 | Medicaid | IA | |
| 0236174 | Medicaid | IA | |
| 0274811 | Medicaid | IA | |
| 0451906 | Medicaid | IA | |
| 0251983 | Medicaid | IA | |
| 0235762 | Medicaid | IA | |
| 0450908 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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