Mercy Clinics Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MERCY CLINICS INC

Doing business as

Family Medicine of Urbandale, Mercy Clinic

Practice address

4005 NW Urbandale Drive
Urbandale, IA 50322-7914

Phone

(515) 643-9200

Fax

(515) 643-9247

NPI assigned

Jul 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharon Phillips

Title

Chief Operating Officer

Phone

(515) 643-7238

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Medicine of Urbandale, Mercy Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1083636815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-4374",
            "fax_number": "515-643-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NW URBANDALE DRIVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227914",
            "telephone_number": "515-643-9200",
            "fax_number": "515-643-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "515-643-7238"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD3776",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262725",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine of Urbandale, Mercy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Jane Meade, TLMHC
• John Jeffrey Means, PHD
• Medridge Health Solutions
• Meier Family Chiropractic LLC
• Nicholas Meier, DC
• Mercy Clinics Inc (MercyOne East Village Palliative Care)
• Mercy Clinics, Inc (MercyOne Urbandale Family Medicine Clinic)
• Mercy Clinics, Inc (Mercy Clinics Internal Medicine Urbandale)
• Thomas Jon Merfeld, DDS
• Lindsay Marie Miklo, ARNP

• Primary Care Clinic/Center in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.