Organization Active NPI

Iowa Medical & Classification Center

  • Prison Health Clinic/Center
  • Coralville, IA
National Provider Identifier
1326448846
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
18517 Issued in IA
Legal business name
IOWA MEDICAL & CLASSIFICATION CENTER
Practice address
2700 Coral Ridge Ave
Coralville, IA 52241-4708
Phone
(319) 626-4437
Fax
(319) 665-6721
NPI assigned
Sep 3, 2014
Last updated
Sep 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harbans Deol, DO
Title
Health Services Administrator
Phone
(319) 626-4278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X 18517 IA Primary

Addresses

Primary practice location

2700 Coral Ridge Ave
Coralville, IA 52241-4708

Mailing address

2700 Coral Ridge Ave
Coralville, IA 52241-4708
Phone (319) 626-4437

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0856046Iowa Medical & Classification Center2700 Coral Ridge Avenue, Coralville, IA 52241Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2700 Coral Ridge Ave
Coralville, IA 52241
Phone (319) 626-2391

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1326448846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CORAL RIDGE AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414708",
            "telephone_number": "319-626-4437",
            "fax_number": "319-665-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORAL RIDGE AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414708",
            "telephone_number": "319-626-4437",
            "fax_number": "319-665-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA MEDICAL & CLASSIFICATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "DEOL",
        "authorized_official_first_name": "HARBANS",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "319-626-4278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "IA",
            "license": "18517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.