Organization
CATHOLIC HEALTH INITIATIVES-IOWA CORP
Active
Other names
MercyOne Clive Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ANDERSEN (PRESIDENT)
(515) 358-9200
Entity
Organization
Contact information
Practice address
1601 NW 114TH ST, SUITE 128, CLIVE, IA 50325-7007
(515) 222-7550
Mailing address
1601 NW 114TH ST STE 128, CLIVE, IA 50325-7036
(515) 222-7555
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3255349
—
IA
01
—
33632
WELLMARK BLUE CROSS
IA
Enumeration date
01/02/2007
Last updated
02/24/2026
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