Organization
HAWKEYE HEALTH SERVICES, INC.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED OFFICIAL)
(515) 277-0977
Entity
Organization
Contact information
Practice address
6200 AURORA AVE, SUITE 100E, URBANDALE, IA 50322-2800
(515) 277-0977
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671875
—
IA
01
—
16D2005081
CLIA
—
Enumeration date
05/20/2006
Last updated
11/30/2023
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