OAK STREET HEALTH PHYSICIANS GROUP OF IOWA LLC NPI 1407551120

NPI Information

NPI: 1407551120
Provider Name: OAK STREET HEALTH PHYSICIANS GROUP OF IOWA LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 16D2284666

Address:
4841 SE 14TH ST
DES MOINES, IA
ZIP 50320
Phone: (515) 415-4081
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OAK STREET HEALTH PHYSICIANS GROUP OF IOWA LLC is a primary care clinic center in Des Moines, IA. OAK STREET HEALTH PHYSICIANS GROUP OF IOWA LLC NPI is 1407551120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4841 SE 14TH ST
DES MOINES, IA
ZIP 50320-616
Phone: (515) 415-4081
Fax: (515) 506-5085

The provider's authorized official is Griffin Myers .
The authorized official title is Cmo and has the following contact phone number (307) 264-2085.

The CLIA number assigned to this NPI record is 16D2284666 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2023 and was last updated on 6/30/2023.

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	Primary
1	207Q00000X	Family Medicine		No
2	207QG0300X	Family Medicine	Geriatric Medicine	No
3	207R00000X	Internal Medicine		No
4	207RG0300X	Internal Medicine	Geriatric Medicine	No
5	363LG0600X	Nurse Practitioner	Gerontology	No
6	261QP2300X	Clinic/Center	Primary Care	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: 5/5/2024

NPI Synchronization or Removal

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