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Organization
EASTERN IOWA HEALTH CENTER
Active
Organization
EASTERN IOWA HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE LOCK (CEO)
(319) 730-7300
Entity
Organization
Contact information
Practice address
1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
(319) 730-7300
Mailing address
1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
(319) 730-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
10/18/2016
Last updated
06/08/2021
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