# IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
- **Other names:** Grundy Center Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013952183
- **Legal business name:** IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
- **Authorized official:** ERICK J LAINE (COO)
- **Authorized official phone:** (515) 471-9227

## Contact information

- **Practice address:** 101 E J AVE, STE 120, GRUNDY CENTER, IA 50638-2006
- **Practice address phone:** (319) 824-6945
- **Practice address fax:** (319) 824-6947
- **Mailing address:** 8101 BIRCHWOOD COURT, SUITE R, JOHNSTON, IA 50131-2930
- **Mailing address phone:** (515) 471-9243
- **Mailing address fax:** (515) 471-9319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/15/2012