Organization
STATE STREET WOMEN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L COON MD (MD)
(563) 359-5535
Entity
Organization
Contact information
Practice address
1004 STATE ST, BETTENDORF, IA 52722-4856
(563) 359-5535
Mailing address
1004 STATE ST, BETTENDORF, IA 52722-4856
(563) 359-5535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32230
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05569
BLUE SHIELD OF IOWA
IA
Enumeration date
01/24/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us