PLEASANTVILLE CLINIC (NPI# 1578735429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578735429 |
| Entity Type | Organization |
| Organization Name | PLEASANTVILLE CLINIC |
| Practice Address |
104 N Washington St Pleasantville IA 50225-9312 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 9526532525 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | BRANDI BOOTH (CLINIC DIRECTOR) |
| Authorized Official Telephone | 9526532525 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLEASANTVILLE CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
104 N WASHINGTON ST |
| City | PLEASANTVILLE |
| State | IA |
| Zip Code | 50225-9312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071515 | Brandi L Booth | Nurse Practitioner | 104 N Washington St, Pleasantville, IA 50225-9312 | 2005-11-28 |
| 1023025137 | Knoxville Community Hospital, Inc. | Physician Assistant | 104 N Washington St, Pleasantville, IA 50225 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558523803 | Stone Ridge Dental Plc | Dentist | 1008 W Pleasant Street, Pleasantville, IA 50225 | 2008-06-27 |
| 1730197401 | Pleasantville Fire Rescue | Ambulance | 1012 Business Hwy 5, Pleasantville, IA 50225 | 2006-08-04 |
| 1427133941 | Thomas M Mohr | Dentist | 114 1/2 East Monroe Street, Pleasantville, IA 50225-0237 | 2006-10-25 |
| 1609191469 | Pleasantville Csd | Local Education Agency (LEA) | 415 Jones St, Pleasantville, IA 50225-7663 | 2010-04-05 |
| 1891176285 | Liautaud Family Chiropractic LLC | Clinic/Center | 114 1/2 E Monroe St, Pleasantville, IA 50225-7744 | 2015-06-11 |
| 1891922167 | Joseph Patrick Tesene | Dentist | 1008 W Pleasant St, Pleasantville, IA 50225-9546 | 2009-06-15 |
| 1760934756 | Klise Dentistry, Pllc | Clinic/Center | 1008 W Pleasant St, Pleasantville, IA 50225-9546 | 2016-10-26 |
| 1326451253 | Jacob Hopper | Dentist | 1008 W Pleasant St, Pleasantville, IA 50225-9546 | 2014-06-09 |
| 1699736850 | Pleasantville Care Center LLC | Skilled Nursing Facility | 909 N State St, Pleasantville, IA 50225-9789 | 2006-03-29 |
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346694825 | Steven Bender Dpm, PC | Non-Pharmacy Dispensing Site | 1425 N Main St, Pleasantville, NJ 08232-1036 | 2016-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002572 | Orange City Municipal Hospital | Non-Pharmacy Dispensing Site | 719 8th St Se, Orange City, IA 51041-7451 | 2020-01-20 |
| 1053586891 | Today's Modern Option | Non-Pharmacy Dispensing Site | 807 Jefferson St, Burlington, IA 52601-5433 | 2008-04-23 |
| 1093983397 | A Tech Inc | Non-Pharmacy Dispensing Site | 10409 Hickman Rd, Des Moines, IA 50322-3727 | 2008-02-20 |
| 1538213400 | Vista Vision & Contact Lens Center LLC | Non-Pharmacy Dispensing Site | 2801 Grand Ave Ste 73, Ames, IA 50010-4652 | 2007-01-22 |
| 1205847845 | Kristine M Staheli Jackson | Non-Pharmacy Dispensing Site | Hillcrest Family Services Clinic, 220 W 7th St, Dubuque, IA 52001 | 2006-08-10 |
| 1962970004 | Mcfarland Clinic, PC | Non-Pharmacy Dispensing Site | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-11-07 |
| 1285133173 | Hartmann Veterinary Services | Non-Pharmacy Dispensing Site | 2332 Cumberland Square Dr, Bettendorf, IA 52722-3219 | 2018-02-06 |
| 1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
| 1235596800 | Guttenberg Municipal Hospital | Non-Pharmacy Dispensing Site | 200 Main St, Guttenberg, IA 52052-9108 | 2016-01-27 |
| 1306182647 | Trinity Regional Medical Center | Non-Pharmacy Dispensing Site | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTVILLE |
| Zip Code | 50225 |
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| 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.