MERCYONE JOHNSTON PEDIATRICS CARE CLINIC – NPI #1194741694
Clinic/Center

MERCYONE JOHNSTON PEDIATRICS CARE CLINIC is an AHC clinic located in JOHNSTON, IA. NPPES has assigned the NPI number 1194741694 to MERCYONE JOHNSTON PEDIATRICS CARE CLINIC on July 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERCYONE JOHNSTON PEDIATRICS CARE CLINIC” is a dba name, the actual legal business name for this organization is MERCY CLINICS, INC. The NPI data also shows multiple names associated with this provider such as MercyOne Grimes Family Medicine Clinic and 3 other listed below. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was last updated on Oct 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCYONE JOHNSTON PEDIATRICS CARE CLINIC below.

NPI Profile for
MERCY CLINICS, INC

NPI Number
1194741694
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCY CLINICS, INC
Doing Business As (dba): MERCYONE JOHNSTON PEDIATRICS CARE CLINIC
Other name(s)
All associated names:
Doing Business As (dba)
MercyOne Grimes Family Medicine Clinic
Doing Business As (dba)
MercyOne Grimes Pediatrics Care Clinic
Doing Business As (dba)
MercyOne Johnston Family Medicine Clinic
Doing Business As (dba)
MercyOne Johnston Pediatrics Care Clinic
Primary location
5615 NW 86TH ST
JOHNSTON, IA 50131-1738
Phone: (515) 643-6000 Fax: (515) 643-6001
3 Other location(s):
411 Laurel St Ste 3300
Des Moines, IA 50314-3027
Phone: (515) 300-3900
Fax: (515) 300-3901
250 SW Brookside Dr
Grimes, IA 50111-4900
Phone: (515) 300-3900
Fax: (515) 300-3901
5615 NW 86th St Ste 200
Johnston, IA 50131-1738
Phone: (515) 643-6090
Fax: (515) 643-6001
Mailing address
PO BOX 1475
DES MOINES, IA 50305-1475
Phone: (515) 643-6000 Fax: (515) 643-6001
Organization Subpart
No
Authorized Official
BRADLEY WHIPPLE
CHIEF OPERATING OFFICER
Phone: (515) 358-6956
Updated
Certification Date
Oct 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MERCYONE JOHNSTON PEDIATRICS CARE CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICAREIACD3776
medicaidIA0209023
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.