Mercyone Clive Pharmacy

LBN: Catholic Health Initiatives-Iowa Corp
Mercyone Clive Pharmacy is an health care organization with primary practice located at 1601 Nw 114Th St Suite 234, Clive IA 50325-7007. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Catholic Health Initiatives-Iowa Corp can be contacted via phone (515) 222-7979, or through Wegner, Michael via phone (515) 247-4278.

Contact Information

Primary practice address
1601 Nw 114Th St Suite 234 Clive IA 50325-7007
Phone: (515) 222-7979
Fax: (515) 222-7976
Website:
Map and Directions
Authorized official contact:
Name: Wegner, Michael
Phone: (515) 247-4278

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 1193 Iowa

Profile Details

NPI number 1619952926
LBN Legal business name Catholic Health Initiatives-Iowa Corp
DBA Doing business as Mercyone Clive Pharmacy
Authorized official Wegner, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Sep 29th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619952926 NPPES
Iowa MEDICAID 0269373
Iowa Other 2030148

Popular Providers