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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
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