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Organization

IOWA CITY VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL W SMITH LCSW (INPATIENT SOCIAL WORKER)
(319) 338-0581
Entity
Organization

Contact information

Practice address
601 HWY 6W, IOWA CITY, IA 52246
(319) 338-0581
Mailing address
601 HWY 6W, IOWA CITY VA MEDICAL CENTER, IOWA CITY, IA 52246

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
149013021
IL

Other

Enumeration date
09/30/2008
Last updated
09/30/2008
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