Organization
PET CO., LLC
Active
Parent organization
THE IOWA CLINIC HOLDING COMPANY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE IOWA CLINIC HOLDING COMPANY LLC
Authorized official
MR. CHARLES EDWARD BROWN CEO (CHIEF EXECUTIVE OFFICER)
(515) 875-9101
Entity
Organization
Contact information
Practice address
1221 PLEASANT ST, STE 150A, DES MOINES, IA 50309
(515) 244-5109
(515) 241-3505
Mailing address
7147 VISTA DR STE 160, WEST DES MOINES, IA 50266-9313
(515) 875-9924
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/26/2005
Last updated
06/21/2018
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