# EASTERN IOWA HEALTH CENTER

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

## Provider details

- **NPI number:** 1598216244
- **Authorized official:** JOE LOCK (CEO)
- **Authorized official phone:** (319) 730-7300

## Contact information

- **Practice address:** 1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
- **Practice address phone:** (319) 730-7300
- **Mailing address:** 1201 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
- **Mailing address phone:** (319) 730-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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