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. |
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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 |
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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 |
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Provider Enumeration Date | 05/11/2023 |
Last Update Date | 05/11/2023 |
Medicare PECOS PAC ID | 0941668057 |
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Medicare Enrollment ID | O20240102003125 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184314171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Primary |
Provider Name | Audrey C Ko |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891089546 PECOS PAC ID: 2264740661 Enrollment ID: I20170616002168 |
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