Hillcrest Family Services
Organization Active NPI Community Health Clinic/Center · Dubuque, IA
NPI 1649446147 · NPPES record last updated May 6, 2008
Key facts
- NPI
- 1649446147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- HILLCREST FAMILY SERVICES
- Practice address
- 220 W 7TH St
Dubuque, IA 52001-2375 - Phone
- (563) 583-6431
- Fax
- (563) 557-4447
- NPI assigned
- May 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary L Gansemer, LISW
- Title
- President and Ceo
- Phone
- (563) 583-7357
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Kristine M Staheli Jackson
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
220 W 7TH St
Dubuque, IA 52001-2375
Mailing address
2005 Asbury Rd
Dubuque, IA 52001-3042
Phone (563) 583-7357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053629 | Medicaid | IA |
Other providers in Dubuque, IA
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
- Hillcrest Family Services
All providers in Dubuque, IA · Community 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 May 6, 2008. 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.