SUPREME HEALTH NPI 1164972980

NPI Information

NPI: 1164972980
Provider Name: SUPREME HEALTH
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
10002 CATALINA DR
JOHNSTON, IA
ZIP 50131
Phone: (515) 943-0122
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SUPREME HEALTH is a public health or welfare in Johnston, IA. SUPREME HEALTH NPI is 1164972980. The provider is registered as an organization entity type.

The provider's business location address is:

10002 CATALINA DR
JOHNSTON, IA
ZIP 50131-102
Phone: (515) 943-0122

The provider's authorized official is Corey Lewis .
The authorized official title is Owner and has the following contact phone number (515) 943-0122.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.

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	251K00000X	Public Health or Welfare				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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