Organization Name: | ABCM CORPORATION |
NPI Number: | 1275650558 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY ROBERTS (CFO) |
Mailing Address: | 400 Us Highway 18 W Clear Lake |
State: | IA US |
Postal Code: | 504281108 |
Phone Number: | 6413575244 |
Fax Number: | 6413577154 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 10/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |