Organization Name: | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
NPI Number: | 1558397091 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN L MCNICHOLS (VP/COO) |
Mailing Address: | 4480 Utica Ridge Road Suite 2230 Bettendorf |
State: | IA US |
Postal Code: | 527221644 |
Phone Number: | 5637425150 |
Fax Number: | 5637425165 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1100240059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |