NOVA INTEGRATED HEALTH, PC


Address: 2675 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4719
Phone: 5152894549

NOVA INTEGRATED HEALTH, PC (NPI# 1417412750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417412750
Entity Type Organization
Organization Name NOVA INTEGRATED HEALTH, PC
Practice Address 2675 N Ankeny Blvd Ste 113
Ankeny
IA 50023-4719
Mailing Address 1103 Ridgetop Dr
Huxley
IA 50124-4704
Practice Telephone 5152894549
Enumeration Date 2019-01-31
Last Update Date 2019-01-31
Authorized Official Name TAYLOR VANDEN WYNBOOM (OWNER, CEO)
Authorized Official Telephone 5152894549
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities NOVA INTEGRATED HEALTH, PC 1103 Ridgetop Dr., Huxley, IA 50124

Office Location

Street Address 2675 N ANKENY BLVD STE 113
City ANKENY
State IA
Zip Code 50023-4719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114549847 Jenica Dunavan Nurse Practitioner 2675 N Ankeny Blvd Ste 113, Ankeny, IA 50023-4719 2020-05-15

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NPI Name Taxonomy Address Enumeration
1356956916 Jennifer Cherop Cheruiyot Nurse Practitioner 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 2020-09-10
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1023663994 Janet Lynn Rieckhoff Counselor 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 2019-08-07
1790344158 Jacquelyn Olson Leech Counselor 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 2019-06-10
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1831657857 Michael E Mcinroy Counselor 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 2019-03-08
1396231825 Catherine Walters Counselor 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 2018-07-09
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City ANKENY
Zip Code 50023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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