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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619952926 | NPPES |
| Iowa | MEDICAID | 0269373 | |
| Iowa | Other | 2030148 |
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