Organization Name: | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
NPI Number: | 1912235854 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN L. MCNICHOLS (VP/COO) |
Mailing Address: | 5510 Utica Ridge Road Suite 100 Davenport |
State: | IA US |
Postal Code: | 528072935 |
Phone Number: | 5633557258 |
Fax Number: | 5633557196 |
NPI Enumeration Date: | 12/04/2009 |
NPI Last Update Date: | 02/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |