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Organization
IOWA VETERANS HOME
Active
Organization
IOWA VETERANS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J RICHARDSON (ACCOUNTING CLERK 2)
(641) 753-4518
Entity
Organization
Contact information
Practice address
1301 SUMMIT ST, MARSHALLTOWN, IA 50158-5484
(641) 753-4518
(641) 753-4203
Mailing address
1301 SUMMIT ST, MARSHALLTOWN, IA 50158-5484
(641) 753-4518
(641) 753-4203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088278
—
IA
Enumeration date
07/31/2006
Last updated
07/22/2009
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