Organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Active
Parent organization
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Other names
Trinity Family Med Assoc Geneseo
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
600 N COLLEGE AVE, STE 120, GENESEO, IL 61254-1092
(309) 944-5342
(309) 945-4079
Mailing address
8101 BIRCHWOOD COURT, SUITE R, JOHNSTON, IA 50131-2930
(515) 471-9243
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
12/13/2012
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