PREMISE HEALTH OF IOWA MEDICAL P C NPI 1285302984

NPI Information

NPI: 1285302984
Provider Name: PREMISE HEALTH OF IOWA MEDICAL P C

Doing Business As: CAESARS HEALTH CENTER COUNCIL BLUFFS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 16D2011263

Address:
2701 23RD AVE
COUNCIL BLUFFS, IA
ZIP 51501
Phone: (712) 396-3722
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PREMISE HEALTH OF IOWA MEDICAL P C is a multi-specialty clinic center in Council Bluffs, IA. PREMISE HEALTH OF IOWA MEDICAL P C NPI is 1285302984. The provider is registered as an organization entity type.
The provider Is Doing Business As Caesars Health Center Council Bluffs.

The provider's business location address is:

2701 23RD AVE
COUNCIL BLUFFS, IA
ZIP 51501-958
Phone: (712) 396-3722
Fax: (712) 396-3997

The provider's authorized official is Steven Ashley Hinitt .
The authorized official title is President and has the following contact phone number (210) 563-5077.

The CLIA number assigned to this NPI record is 16D2011263 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2021 and was last updated on 10/28/2021.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 4/28/2024

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