Mercy West Pediatric Clinic

LBN: Mercy Clinics Inc
Mercy West Pediatric Clinic is an health care organization with primary practice located at 1601 Nw 114Th St Ste 345 , Clive IA 50325-7036. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mercy Clinics Inc can be contacted via phone (515) 222-7337, or through Phillips, Sharon via phone (515) 358-6960.

Contact Information

Primary practice address
1601 Nw 114Th St Ste 345 Clive IA 50325-7036
Phone: (515) 222-7337
Fax: (515) 222-7340
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Sharon
Phone: (515) 358-6960

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1669652061
LBN Legal business name Mercy Clinics Inc
DBA Doing business as Mercy West Pediatric Clinic
Authorized official Phillips, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Apr 8th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669652061 NPPES
Iowa Other 29003 WELLMARK BLUE SHIELD
Iowa MEDICAID 1236174 WELLMARK BLUE SHIELD

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