Preventative Health Clinic Inc is a
Family Medicine based in Clive, Iowa. Preventative Health Clinic Inc is licensed to practice in Iowa (license number 03475) and their current practice location is
2480 Berkshire Pkwy, Clive, Iowa. It can be reached at their office (for appointments etc.) via phone at
(515) 225-2578.
NPI number for Preventative Health Clinic Inc is 1922279439 and their current mailing address is 2213 Grand Ave, Des Moines, Iowa. Preventative Health Clinic Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1922279439.
Healthcare Provider's Profile
| Full Name | Preventative Health Clinic Inc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 2480 Berkshire Pkwy, Clive, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922279439
- Provider Enumeration Date: 03/13/2008
- Last Update Date: 12/02/2008
Medical Identifiers
Medical identifiers for Preventative Health Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922279439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 007026 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | 03475 (Iowa) | Primary |
| 363A00000X | Physician Assistant | 001132 (Iowa) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Preventative Health Clinic Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Preventative Health Clinic Inc
2213 Grand Ave,
Des Moines, IA 50312-5305
Ph: (515) 237-3974 | Preventative Health Clinic Inc
2480 Berkshire Pkwy,
Clive, IA 50325-4678
Ph: (515) 225-2578 |
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