| Mercyone Urbandale Family Medicine Clinic | |
|
6200 Aurora Ave Ste 100w Urbandale IA 50322-2836 | |
| (515) 270-1177 | |
| (515) 643-9361 |
| Full Name | Mercyone Urbandale Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6200 Aurora Ave Ste 100w, Urbandale, Iowa |
| Authorized Official Name and Position | Sharon Phillips (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5153587270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Urbandale Family Medicine Clinic Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 270-1177 | Mercyone Urbandale Family Medicine Clinic 6200 Aurora Ave Ste 100w Urbandale IA 50322-2836 Ph: (515) 270-1177 |
| NPI Number | 1063438638 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 04/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063438638 | NPI | - | NPPES |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| 2207084 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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