| Thrive Health Iv Clinic, P.c. | |
|
6200 Westown Pkwy West Des Moines IA 50266-7755 | |
| (310) 363-8757 | |
| (310) 363-8758 |
| Full Name | Thrive Health Iv Clinic, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6200 Westown Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | Karen M Mullen (SECRETARY) |
| Authorized Official Contact | 3103638757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Health Iv Clinic, P.c. 9675 Brighton Way Ste 410 Beverly Hills CA 90210-5192 Ph: (310) 363-8757 | Thrive Health Iv Clinic, P.c. 6200 Westown Pkwy West Des Moines IA 50266-7755 Ph: (310) 363-8757 |
| NPI Number | 1184314171 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 0941668057 |
|---|---|
| Medicare Enrollment ID | O20240102003125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184314171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Primary |
| Provider Name | Audrey C Ko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891089546 PECOS PAC ID: 2264740661 Enrollment ID: I20170616002168 |
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