PACIFICA HEALTH SERVICES LLC (NPI# 1487881397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487881397 |
| Entity Type | Organization |
| Organization Name | PACIFICA HEALTH SERVICES LLC |
| Other Organization Name | PACIFICA OUTPATIENT |
| Practice Address |
4911 Sw 19th St Des Moines IA 50315-4487 |
| Practice Telephone | 5152852559 |
| Practice Fax Number | 5152856487 |
| Mailing Telephone | 5152852559 |
| Mailing Fax Number | 5152856487 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | ALLEN PHILIP WOLNERMAN (OWNER) |
| Authorized Official Telephone | 5152852559 |
| Authorized Official Credential | RPH, FASCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
770692 | IA | Ambulatory Health Care Facilities |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
770692 | IA | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
770692 | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0807321 | 05 |
| Other Name | Type Code |
|---|---|
| Pacifica Outpatient | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326071002 | Pacifica Health Services LLC | Nursing Facility/Intermediate Care Facility | 680 Cole St, Carlisle, IA 50047-8763 | 2006-07-08 |
| 1588697247 | Pacifica Health Services LLC | Clinic/Center | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2006-07-08 |
| Street Address |
4911 SW 19TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50315-4487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588697247 | Pacifica Health Services LLC | Clinic/Center | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2006-07-08 |
| 1134698251 | Courtney Rose Smith | Dietitian, Registered | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2018-11-19 |
| 1679910004 | Brad Douglas Cosner | Physical Therapy Assistant | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2013-05-24 |
| 1538505664 | Lauren Ann Hupp | Physical Therapist | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2013-05-15 |
| 1932545357 | Andrew Christopher Sciorrotta | Physical Therapist | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2013-05-13 |
| 1144666595 | Ellen K Holcomb | Occupational Therapist | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2013-05-13 |
| 1104111202 | Michelle Anne Young | Speech-Language Pathologist | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2011-06-16 |
| 1255599643 | Jamie Le Snyder | Occupational Therapy Assistant | 4911 Sw 19th St, Des Moines, IA 50315 | 2008-06-02 |
| 1336307727 | Christen Anne Bliss | Occupational Therapist | 4911 Sw 19th St, Des Moines, IA 50315 | 2008-06-02 |
| 1568620953 | Kirt Philip Freundl | Physical Therapist | 4911 Sw 19th St, Des Moines, IA 50315 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326580606 | Stacie Brown | Specialist/Technologist | 1201 Herold Ave, Des Moines, IA 50315 | 2016-11-17 |
| 1245581560 | Stroke Detections Plus, Inc. | Early Intervention Provider Agency | 2407 Sw 9th Street, Des Moines, IA 50315 | 2012-09-26 |
| 1922371533 | Ronald D. Sanford | Durable Medical Equipment & Medical Supplies | 1920-s.w. Frazier, Des Moines, IA 50315 | 2012-02-13 |
| 1811155203 | Katherine M Schultz | Occupational Therapy Assistant | 4911 Sw 19th, Des Moines, IA 50315 | 2008-06-02 |
| 1255599635 | Lisa Kaye Malsom | Physical Therapist | 4911 Sw 19th Street, Des Moines, IA 50315 | 2008-06-02 |
| 1346445350 | Herbert Lawrence Notch | Psychologist | 7510 Sw 9th, Des Moines, IA 50315 | 2007-06-19 |
| 1881749893 | Emergency Dental Care Usa | Dentist | 4409 Sw 9th St, Des Moines, IA 50315 | 2007-01-23 |
| 1114947132 | Richard Alan Lyman | Dentist | 6100 Sw 9th St, Des Moines, IA 50315 | 2006-07-20 |
| 1487603684 | Eye Care of Iowa PC | Optometrist | 200 Army Post Rd, Des Moines, IA 50315 | 2006-05-08 |
| 1437115920 | Hearing Aid Centers Inc. | Hearing Aid Equipment | 1219 Sw Army Post Rd, Des Moines, IA 50315 | 2006-04-24 |
| Find all providers in zip 50315 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286116 | Encompass Physical Therapy Pllc | Clinic/Center | 20714 7th Pl S, Des Moines, WA 98198-3415 | 2020-05-18 |
| 1407034168 | Mercy Clinics Inc | Clinic/Center | Skywalk Level, Equitable Bldg, 604 Locust St - Ste 210, Des Moines, IA 50309 | 2008-02-05 |
| 1588697247 | Pacifica Health Services LLC | Clinic/Center | 4911 Sw 19th St, Des Moines, IA 50315-4487 | 2006-07-08 |
| 1891212346 | Breathe. Physical Therapy & Wellness | Clinic/Center | 2614 Beaver Ave, Des Moines, IA 50310-3908 | 2017-08-25 |
| 1588862791 | Arc Therapy Services LLC | Clinic/Center | 1611 27th St, Des Moines, IA 50310-5400 | 2007-07-10 |
| 1083740021 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2100 Dixon St, Suite E, Des Moines, IA 50316-2174 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791872 | Prime Movement LLC | Clinic/Center | 818 Buck St, Tiffin, IA 52340-9419 | 2020-08-19 |
| 1831723626 | Aero Performance and Physical Therapy, Pllc | Clinic/Center | 115 Colton Dr S, North Liberty, IA 52317-9169 | 2020-03-02 |
| 1063045540 | Integritee Health & Performance LLC | Clinic/Center | 1802 N Ankeny Blvd Ste 102, Ankeny, IA 50023-1802 | 2020-02-12 |
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1124671169 | The Wellness Chambers, Pllc | Clinic/Center | 1006 Sw 4th Ct, Grimes, IA 50111-2400 | 2019-07-18 |
| 1013402940 | Return To Sport Services | Clinic/Center | 8874 Woodmayr Cir, Norwalk, IA 50211-1842 | 2018-06-23 |
| 1821526377 | Shelby County Physical Therapy, Inc. | Clinic/Center | 2305 Chatburn Ave, Harlan, IA 51537-1855 | 2017-05-30 |
| 1700329927 | Tipt Pllc | Clinic/Center | 2400 N Dodge St, Suite B, Iowa City, IA 52245-8304 | 2016-11-19 |
| 1144614686 | Cedar Falls Lutheran Home | Clinic/Center | 7517 University Ave, Suite 7, Cedar Falls, IA 50613-5074 | 2015-03-23 |
| 1699166900 | Jeff Reding | Clinic/Center | 302 N 18th St, Indianola, IA 50125-9720 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50315 |
Please comment or provide details below to improve the information on PACIFICA HEALTH SERVICES LLC.
| 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.