# PHYSMED IOWA LLC

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

## Provider details

- **NPI number:** 1992279095
- **Authorized official:** MR. JACOB KEITH PANOWICZ (OWNER/CEO)
- **Authorized official phone:** (402) 926-4088

## Contact information

- **Practice address:** 1130 S SCOTT BLVD, IOWA CITY, IA 52240-2907
- **Practice address phone:** (402) 320-3939
- **Practice address fax:** (402) 926-4197
- **Mailing address:** 4905 S 107TH AVE STE 200, OMAHA, NE 68127-1965
- **Mailing address phone:** (402) 926-4088
- **Mailing address fax:** (402) 926-4197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2019
- **Last updated:** 01/11/2019