Organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Active
Parent organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Other names
Iowa Health Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Authorized official
ERICK J LAINE (COO)
(515) 471-9227
Entity
Organization
Contact information
Practice address
124 1ST AVE SE, OELWEIN, IA 50662-2321
(319) 283-2651
(319) 283-1430
Mailing address
8101 BIRCHWOOD COURT, SUITE R, JOHNSTON, IA 50131-2930
(515) 471-9243
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689042
—
IA
Enumeration date
05/04/2006
Last updated
08/15/2012
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