Organization
IOWA TOTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PRIEST (VICE PRESIDENT, MEDICAID SOLUTIONS)
(314) 302-2859
Entity
Organization
Contact information
Practice address
1080 JORDAN CREEK PARKWAY, WEST DES MONIES, IA 58026
(314) 725-4477
Mailing address
7700 FORSYTH BLVD STE 800, CLAYTON, MO 63105-1849
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302R0000X
TAXONOMY CODE
MO
Enumeration date
11/20/2018
Last updated
11/20/2018
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