| Mercyone Ankeny Family Medicine Clinic | |
|
800 E 1st St Ste 1700 Ankeny IA 50021-2100 | |
| (515) 643-8100 | |
| (515) 643-8139 |
| Full Name | Mercyone Ankeny Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 800 E 1st St Ste 1700, Ankeny, Iowa |
| Authorized Official Name and Position | Bradley Whipple (COO) |
| Authorized Official Contact | 5153221496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Ankeny Family Medicine Clinic Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-8100 | Mercyone Ankeny Family Medicine Clinic 800 E 1st St Ste 1700 Ankeny IA 50021-2100 Ph: (515) 643-8100 |
| NPI Number | 1114943628 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114943628 | NPI | - | NPPES |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| 0225664 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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