PLEASANTVILLE CLINIC
NPI 1578735429
Non-Pharmacy Dispensing Site in Pleasantville, IA
About Pleasantville Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLEASANTVILLE CLINIC (NPI 1578735429) is a healthcare organization registered as a non-pharmacy dispensing site in Pleasantville, Iowa and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Brandi Booth, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D0383105
Pleasantville Clinic · Pleasantville, IAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pleasantville Clinic's NPI number?
The NPI number for Pleasantville Clinic is 1578735429. It was assigned to this organization in the NPPES registry on April 1, 2008.
Where is Pleasantville Clinic located?
Pleasantville Clinic is located at 104 N Washington St, Pleasantville, IA 50225. The listed phone number is (952) 653-2525.
What is Pleasantville Clinic's specialty?
The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
Does Pleasantville Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D0383105) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pleasantville Clinic accept?
Health plans from Medica and Moda Health Plan, Inc. list Pleasantville Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pleasantville Clinic was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pleasantville Clinic · NPI 1578735429
Non-Pharmacy Dispensing Site organization in Pleasantville, Iowa. Organization record, active in the CMS NPPES registry since April 1, 2008.
## Identity
- **NPI:** 1578735429 (Entity type: Organization)
- **Enumerated:** April 1, 2008
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Organization subpart:** Yes (part of Pleasantville Clinic)
- **Authorized official:** Brandi Booth, CLINIC DIRECTOR
## Practice location
- **Address:** 104 N WASHINGTON ST, Pleasantville, IA 50225-9312
- **Phone:** (952) 653-2525
## Record status
- **NPPES last updated:** April 1, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578735429) · Data from the CMS NPPES public registry.