| Olivera Health Group Ia Llc | |
|
6420 Council St Ne Cedar Rapids IA 52402-1129 | |
| (212) 734-6621 | |
| Not Available |
| Full Name | Olivera Health Group Ia Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6420 Council St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Menachem Hoffman (OWNER) |
| Authorized Official Contact | 9173459464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivera Health Group Ia Llc 199 Lee Ave Brooklyn NY 11211-8919 Ph: () - | Olivera Health Group Ia Llc 6420 Council St Ne Cedar Rapids IA 52402-1129 Ph: (212) 734-6621 |
| NPI Number | 1255192423 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 04/03/2024 |
| Medicare PECOS PAC ID | 4880038785 |
|---|---|
| Medicare Enrollment ID | O20240220000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255192423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jeanette D Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205336385 PECOS PAC ID: 6204198989 Enrollment ID: I20180316000077 |
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