| Mercyone Des Moines Weight Loss & Nutrition Center | |
|
1601 Nw 114th St Clive IA 50325-7007 | |
| (515) 222-7000 | |
| (515) 222-7037 |
| Full Name | Mercyone Des Moines Weight Loss & Nutrition Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| 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 Des Moines Weight Loss & Nutrition Center Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-4374 | Mercyone Des Moines Weight Loss & Nutrition Center 1601 Nw 114th St Clive IA 50325-7007 Ph: (515) 222-7000 |
| NPI Number | 1487670923 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487670923 | NPI | - | NPPES |
| 0207084 | Medicaid | IA | |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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