|
| |
|
5900 E University Ave Ste 300 Pleasant Hill IA 50327-8469 | |
| (515) 643-2600 | |
| (515) 643-4733 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 5900 E University Ave Ste 300, Pleasant Hill, Iowa |
| Authorized Official Name and Position | Sharon Phillips (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5153586960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-2600 | 5900 E University Ave Ste 300 Pleasant Hill IA 50327-8469 Ph: (515) 643-2600 |
| NPI Number | 1922288323 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922288323 | NPI | - | NPPES |
| 0451906 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Simplevas Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5191 Maple Dr Ste L, Pleasant Hill, IA 50327 Phone: 515-518-7438 | |
Pleasant Hill Family Practice,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5148 E University Ave, Pleasant Hill, IA 50327 Phone: 515-126-6119 Fax: 515-266-0615 |