Active NPI
Mercy Clinics Inc
- Primary Care Clinic/Center
- West Des Moines, IA
National Provider Identifier
1619259876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MERCY CLINICS INC
- Practice address
- 2501 Westown Pkwy
Suite 1103
West Des Moines, IA 50266-1427 - Phone
- (515) 440-3484
- Fax
- (515) 440-0557
- NPI assigned
- Sep 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Vellinga
- Title
- Pres/Ceo
- Phone
- (515) 247-4278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2501 Westown Pkwy
Suite 1103
West Des Moines, IA 50266-1427
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 440-3484
Other names 1
- Mercy Khan Family Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Indianola, IA
- NPI 1144202730
-
- Family Medicine Physician
- Clive, IA
- NPI 1750396297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317168000000",
"number": "1619259876",
"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": "515-440-3484",
"fax_number": "515-440-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 WESTOWN PKWY",
"address_2": "SUITE 1103",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661427",
"telephone_number": "515-440-3484",
"fax_number": "515-440-0557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-28",
"status": "A",
"authorized_official_last_name": "VELLINGA",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRES/CEO",
"authorized_official_telephone_number": "515-247-4278"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Khan Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.