CATHOLIC HEALTH INITIATIVES-IOWA CORP NPI 1720145840

NPI Information

NPI: 1720145840
Provider Name: CATHOLIC HEALTH INITIATIVES-IOWA CORP

Doing Business As: MERCYONE CLIVE IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1601 NW 114TH ST
SUITE 128
CLIVE, IA
ZIP 50325
Phone: (515) 222-7550
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CATHOLIC HEALTH INITIATIVES-IOWA CORP is a diagnostic radiology radiology in Clive, IA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CATHOLIC HEALTH INITIATIVES-IOWA CORP NPI is 1720145840. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mercyone Clive Imaging.

The provider's business location address is:

1601 NW 114TH ST
SUITE 128
CLIVE, IA
ZIP 50325-007
Phone: (515) 222-7550

The provider's authorized official is Michael Wegner .
The authorized official title is Interim President and has the following contact phone number (515) 247-4278.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 9/29/2022.

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	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33632	OTHER	IOWA	WELLMARK BLUE CROSS
2	3255349	MEDICAID	IOWA

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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