Organization
IOWA RIVER HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE ANN STUPP (OFFICE MANAGER)
(641) 753-7704
Entity
Organization
Contact information
Practice address
502 PLAZA HEIGHTS RD, MARSHALLTOWN, IA 50158-4544
(641) 753-7704
(641) 753-0379
Mailing address
502 PLAZA HEIGHTS RD, MARSHALLTOWN, IA 50158-4544
(641) 753-7704
(641) 753-0379
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615054
—
IA
01
—
61505
BLUECROSSBLUESHIELD
IA
Enumeration date
09/22/2005
Last updated
10/25/2013
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