Organization
IOWA DONOR NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE LANE CONRAD (CEO)
(319) 665-3787
Entity
Organization
Contact information
Practice address
550 MADISON AVE N, NORTH LIBERTY, IA 52317-8401
(319) 665-3787
(319) 665-3788
Mailing address
550 MADISON AVE N, NORTH LIBERTY, IA 52317-8401
(319) 665-3787
(319) 665-3788
Taxonomy
Speciality
Code
Description
License number
State
335U00000X
Organ Procurement Organization
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16P001
CMS
—
Enumeration date
07/14/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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