Provider Demographics
NPI:1437902749
Name:PERSPECTIVE HEALTH IOWA LLC
Entity Type:Organization
Organization Name:PERSPECTIVE HEALTH IOWA LLC
Other - Org Name:PERSPECTIVE HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN ASSISTANT / CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:K
Authorized Official - Last Name:GRIES
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:708-522-5439
Mailing Address - Street 1:8860 NORTHPARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50131-3168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8860 NORTHPARK DR STE 200
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50131-3168
Practice Address - Country:US
Practice Address - Phone:708-522-5439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care