Organization
U.S.A. HEALTHCARE CENTER-URBANDALE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF HUTTON (C.F.O.)
(256) 739-1239
Entity
Organization
Contact information
Practice address
4614 84TH ST, URBANDALE, IA 50322-1089
(515) 278-6838
(515) 278-5693
Mailing address
4614 84TH ST, URBANDALE, IA 50322-1089
(515) 278-6838
(515) 278-5693
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
770053
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800000
—
IA
01
—
65580
BCBS
IA
Enumeration date
06/29/2005
Last updated
04/14/2008
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