Organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Active
Other names
Iowa Health Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L MCNICHOLS (VP/COO)
(515) 471-9201
Entity
Organization
Contact information
Practice address
214 3RD ST, KEYSTONE, IA 52249-9520
(319) 442-3215
(319) 442-3217
Mailing address
8101 BIRCHWOOD CT, SUITE R, JOHNSTON, IA 50131-2930
(515) 471-9372
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689018
—
IA
Enumeration date
05/05/2006
Last updated
01/09/2008
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