Healthcare Provider Details

I. General information

NPI: 1194108209
Provider Name (Legal Business Name): HARBOR VIEW MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 THORNTON AVE STE 200
DES MOINES IA
50321-2413
US

IV. Provider business mailing address

6151 THORNTON AVE STE 200
DES MOINES IA
50321-2413
US

V. Phone/Fax

Practice location:
  • Phone: 855-633-2489
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN CONWAY
Title or Position: COO
Credential:
Phone: 515-974-7487