| |
1601 Nw 114th St Ste 345 Clive IA 50325-7036 | |
(515) 222-7337 | |
(515) 222-7340 |
Full Name | |
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Speciality | Clinic/center |
Location | 1601 Nw 114th St Ste 345, Clive, 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 |
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Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 222-7337 | 1601 Nw 114th St Ste 345 Clive IA 50325-7036 Ph: (515) 222-7337 |
NPI Number | 1669652061 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 04/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669652061 | NPI | - | NPPES |
29003 | Other | IA | WELLMARK BLUE SHIELD |
1236174 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Digestive And Liver Disease Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St, Ste 342, Clive, IA 50325 Phone: 515-223-4823 Fax: 515-223-0482 | |
Pure Wellness Chiropractic & Acupuncture Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 Nw 128th St, 120, Clive, IA 50325 Phone: 515-225-2220 Fax: 515-225-2229 | |
New Leaf Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12129 University Ave Ste 1500, Clive, IA 50325 Phone: 515-657-6210 Fax: 515-657-6208 | |