# BLUFFS OBGYN AND INCONTINENCE CTR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003868639
- **Authorized official:** CAROL L MCINTYRE D.O. (D.O./PRESIDENT)
- **Authorized official phone:** (712) 256-8080

## Contact information

- **Practice address:** 300 W BROADWAY, SUITE 111, COUNCIL BLUFFS, IA 51503-9066
- **Practice address phone:** (712) 256-8080
- **Practice address fax:** (712) 256-8082
- **Mailing address:** 300 W BROADWAY, SUITE 111, COUNCIL BLUFFS, IA 51503-9066
- **Mailing address phone:** (712) 256-8080
- **Mailing address fax:** (712) 256-8082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 11/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1003868639 | — | IA |