Organization
HILLCREST FAMILY SERVICES
Active
Organization
HILLCREST FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L GANSEMER LISW (PRESIDENT/CEO)
(563) 583-7357
Entity
Organization
Contact information
Practice address
220 W 7TH ST, DUBUQUE, IA 52001-2375
(563) 583-6431
(563) 557-4447
Mailing address
2005 ASBURY RD, DUBUQUE, IA 52001-3042
(563) 583-7357
(563) 583-7026
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140087
—
IA
Enumeration date
05/08/2008
Last updated
05/08/2008
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