# GREAT RIVER ORTHOPAEDIC SURGERY & SPORTS MEDICINE PC

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

## Provider details

- **NPI number:** 1578646196
- **Authorized official:** DR. GREGORY R HILL MD (PRESIDENT)
- **Authorized official phone:** (319) 752-1700

## Contact information

- **Practice address:** 1225 S GEAR AVE, STE 256, WEST BURLINGTON, IA 52655-1691
- **Practice address phone:** (319) 752-1700
- **Mailing address:** 1225 S GEAR AVE, STE 256, WEST BURLINGTON, IA 52655-1691
- **Mailing address phone:** (319) 752-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 35185 | IA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1290973 | — | IA |
| 01 | — | 240008 | MIDLANDS CHOICE | IA |
| 01 | — | 38470 | BLUE CROSS IOWA | IA |
| 01 | — | DD0905 | RAILROAD MEDICARE | IA |