Organization
21ST CENTURY REHAB, PC
Active
Parent organization
21ST CENTURY REHAB, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
21ST CENTURY REHAB, PC
Authorized official
MICHELLE R CASSABAUM (CFO)
(515) 382-3366
Entity
Organization
Contact information
Practice address
1003 8TH ST SW STE D, ALTOONA, IA 50009-2350
(515) 967-4124
(515) 967-9094
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665547
—
IA
01
—
139763501
OWCP FED WC ALTOONA
—
01
—
154075
IOWA HEALTH SOLUTIONS
—
01
—
3432608
PREMIER PROV NETWK
—
01
—
66554
BCBS ALTOONA
—
01
—
F1001
MIDLANDS
—
Enumeration date
06/20/2006
Last updated
11/19/2024
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