Mercyone Beaverdale Family Medicine Clinic

LBN: Mercy Clinics, Inc
Mercyone Beaverdale Family Medicine Clinic is an health care organization with primary practice located at 1750 48Th St Suite 1, Des Moines IA 50310-1988. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mercy Clinics, Inc can be contacted via phone (515) 271-6333, or through Phillips, Sharon via phone (515) 358-6960.

Contact Information

Primary practice address
1750 48Th St Suite 1 Des Moines IA 50310-1988
Phone: (515) 271-6333
Fax: (515) 271-6175
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Sharon
Phone: (515) 358-6960

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1710903364
LBN Legal business name Mercy Clinics, Inc
DBA Doing business as Mercyone Beaverdale Family Medicine Clinic
Authorized official Phillips, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
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 1710903364 NPPES
Iowa MEDICAID 0114983
Iowa Other CD3776

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