21ST CENTURY REHAB PC NPI 1114963154

NPI Information

NPI: 1114963154
Provider Name: 21ST CENTURY REHAB PC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
612 8TH ST SW
ALTOONA, IA
ZIP 50009
Phone: (515) 967-4124
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21ST CENTURY REHAB PC is a rehabilitation clinic center in Altoona, IA. 21ST CENTURY REHAB PC NPI is 1114963154. The provider is registered as an organization entity type.

The provider's business location address is:

612 8TH ST SW
ALTOONA, IA
ZIP 50009-124
Phone: (515) 967-4124
Fax: (515) 967-9094

The provider's authorized official is Michelle R Cassabaum .
The authorized official title is Cfo and has the following contact phone number (515) 382-3366.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 2/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	139763501	OTHER		OWCP FED WC ALTOONA
2	3432608	OTHER		PREMIER PROV NETWK
3	F1001	OTHER		MIDLANDS
4	0665547	MEDICAID	IOWA
5	166554	MEDICARE OSCAR/CERTIFICATION	IOWA
6	66554	OTHER		BCBS ALTOONA
7	154075	OTHER		IOWA HEALTH SOLUTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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