| Organization Name: | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| NPI Number: | 1649228412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERICK J LAINE (COO) |
| Mailing Address: | 124 1st Ave Se Oelwein |
| State: | IA US |
| Postal Code: | 506622321 |
| Phone Number: | 3192832651 |
| Fax Number: | 3192831430 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |