PROTEUS INC. NPI 1497984579

NPI Information

NPI: 1497984579
Provider Name: PROTEUS INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 16D0971308

Address:
1221 CENTER ST STE 16
DES MOINES, IA
ZIP 50309
Phone: (515) 271-5303
Get Directions

PROTEUS INC. is a federally qualified health center (fqhc) clinic center in Des Moines, IA. PROTEUS INC. NPI is 1497984579. The provider is registered as an organization entity type.

The provider's business location address is:

1221 CENTER ST STE 16
DES MOINES, IA
ZIP 50309-000
Phone: (515) 271-5303
Fax: (515) 271-5309

The provider's authorized official is Jesus Soto .
The authorized official title is Ceo and has the following contact phone number (515) 348-6646.

The CLIA number assigned to this NPI record is 16D0971308 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2009 and was last updated on 5/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		IOWA	Yes
2	261QM1000X	Clinic/Center	Migrant Health			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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