Iowa Physicians Clinic Medical Foundation
Organization Active NPI Rural Health Clinic/Center · Vinton, IA
NPI 1649215005 · NPPES record last updated Aug 15, 2012
Key facts
- NPI
- 1649215005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
- Practice address
- 1803 C Ave
Vinton, IA 52349-1691 - Phone
- (319) 472-2304
- Fax
- (319) 472-4579
- NPI assigned
- Jun 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Authorized official
- Name
- Erick J Laine
- Title
- Coo
- Phone
- (515) 471-9227
National Provider Directory
- Part of
- Jeffrey Carandall MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1803 C Ave
Vinton, IA 52349-1691
Mailing address
8101 Birchwood Court
Suite R
Johnston, IA 50131-2930
Phone (515) 471-9243
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0638965 | Medicaid | IA |
Other names
- Vinton Family Practice
Other providers in Vinton, IA
- Independent Child & Adult Services, Inc
- Independent Child Advocate Services
- Iowa Braille & Sight Saving School
- Iowa Educational Services for the Blind and Visually Impaired
- Iowa Host Homes
- Samantha Isaac
- Leah Isaacson
- Katie C Iverson
- Samantha J Jirak
- Lagrange Pharmacy Inc
All providers in Vinton, IA · Rural Health Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.