Mercyone Grand Avenue Family Medicine Clinic | |
1525 Grand Ave West Des Moines Ines IA 50265 | |
(515) 226-0112 | |
Not Available |
Full Name | Mercyone Grand Avenue Family Medicine Clinic |
---|---|
Speciality | Clinic/center |
Location | 1525 Grand Ave, West Des Moines Ines, Iowa |
Authorized Official Name and Position | Bradley Whipple (CHIEF OPERATING OFFICIERS) |
Authorized Official Contact | 5153586956 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mercyone Grand Avenue Family Medicine Clinic Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 226-0112 | Mercyone Grand Avenue Family Medicine Clinic 1525 Grand Ave West Des Moines Ines IA 50265 Ph: (515) 226-0112 |
NPI Number | 1861749335 |
---|---|
Provider Enumeration Date | 08/14/2012 |
Last Update Date | 10/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861749335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |