Cunningham Family Healthcare PC

Organization Active NPI Family Medicine Physician · Audubon, IA

NPI 1437281144 · NPPES record last updated Feb 23, 2010

Key facts

NPI
1437281144
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CUNNINGHAM FAMILY HEALTHCARE PC
Practice address
515 Pacific Ave
Suite 2
Audubon, IA 50025-1056
Phone
(712) 563-4611
Fax
(712) 563-2498
NPI assigned
Mar 9, 2007
Organization subpart
No

Authorized official

Name
James Michael Cunningham, D.O.
Title
Provider
Phone
(712) 563-4611

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

515 Pacific Ave
Suite 2
Audubon, IA 50025-1056

Mailing address

515 Pacific Ave
Suite 2
Audubon, IA 50025-1056
Phone (712) 563-4611

Other identifiers

IdentifierTypeStateIssuer
0638692MedicaidIA

Other providers in Audubon, IA

All providers in Audubon, IA · Family Medicine Physician in Iowa

Sources for this page

Verify at the official NPI Registry.