Provider Demographics
NPI:1710645015
Name:MERCY CLINICS, INC.
Entity Type:Organization
Organization Name:MERCY CLINICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:LENHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-358-6971
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-643-8206
Mailing Address - Fax:515-643-8930
Practice Address - Street 1:411 LAUREL ST STE 3300
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3027
Practice Address - Country:US
Practice Address - Phone:515-643-8206
Practice Address - Fax:515-643-8930
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCY CLINICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center