=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235023375
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLINICAL VALUE CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2025
-----------------------------------------------------
Last Update Date | 06/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19731 20TH AVE
-----------------------------------------------------
City | SAINT CHARLES
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50240-9125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-240-7231
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 19731 20TH AVE
-----------------------------------------------------
City | SAINT CHARLES
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50240-9125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-240-7231
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JULIA CLAIRE FOX JENKINS
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 515-240-7231
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------