Organization
BUSINESS REVENUE CORPORATION
Active
Other names
Spectrum Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CLOVER LOYNACHAN (BILLING/CREDENTIALING)
(515) 243-5027
Entity
Organization
Contact information
Practice address
615 N 2ND AVE W, NEWTON, IA 50208-3015
(515) 243-2057
(515) 244-5570
Mailing address
PO BOX 71602, CLIVE, IA 50325-0602
(515) 243-2057
(515) 244-5570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2014
Last updated
01/04/2014
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