Organization
CLINTON EMERGENCY ROOM ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA OLIVER (CEO)
(563) 244-3530
Entity
Organization
Contact information
Practice address
1410 N 4TH ST, CLINTON, IA 52732-2940
(563) 244-5555
Mailing address
PO BOX 1894, MASON CITY, IA 50402-1894
(641) 494-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451534
—
IA
01
—
38201
WELLMARK BC/BS OF IOWA
—
01
—
DC9207
RAILROAD MEDICARE
—
Enumeration date
03/28/2006
Last updated
08/17/2018
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