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Contact Information

GRAND VIEW UNIVERSITY
1200 GRANDVIEW AVE
JOHNSON WELLNESS CENTER
DES MOINE, IA50316-1529
 Phone: 972-367-4845
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GRAND VIEW UNIVERSITY

NPI Number 1861908089
LBN Legal business name GRAND VIEW UNIVERSITY
Authorized official MOUZON BASS - (AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2017
Last updated 12/26/2017 - About 8 years ago
Identifiers
IA License # 23873
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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