OLIVERA HEALTH GROUP IA LLC – NPI #1255192423
Clinic/Center

OLIVERA HEALTH GROUP IA LLC is an AHC clinic located in CEDAR RAPIDS, IA. NPPES has assigned the NPI number 1255192423 to OLIVERA HEALTH GROUP IA LLC on January 16, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 2 years ago on Apr 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLIVERA HEALTH GROUP IA LLC below.

NPI Profile for
OLIVERA HEALTH GROUP IA LLC

NPI Number
1255192423
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OLIVERA HEALTH GROUP IA LLC
Primary location
6420 COUNCIL ST NE
CEDAR RAPIDS, IA 52402-1129
Phone: (212) 734-6621 Fax:
Mailing address
199 LEE AVE
BROOKLYN, NY 11211-8919
Phone: Fax:
Organization Subpart
No
Authorized Official
MENACHEM HOFFMAN
OWNER
Phone: (917) 345-9464
Updated
Certification Date
Apr 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.