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ST LUKE'S JONES REGIONAL MEDICAL CENTER NPI 1194249920


NPI Information

NPI: 1194249920
Provider Name: ST LUKE'S JONES REGIONAL MEDICAL CENTER

Doing Business As: UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-TIPTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 16D0387780

Address:
1412 CEDAR ST
TIPTON, IA
ZIP 52772
Phone: (563) 886-2182
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ST LUKE'S JONES REGIONAL MEDICAL CENTER is a rural health clinic center in Tipton, IA. ST LUKE'S JONES REGIONAL MEDICAL CENTER NPI is 1194249920. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Unitypoint Health-family Medicine Clinic-tipton.

The provider's business location address is:

1412 CEDAR ST
TIPTON, IA
ZIP 52772-100
Phone: (563) 886-2182
Fax: (563) 886-2732

The provider's authorized official is Eric Briesemeister .
The authorized official title is Ceo and has the following contact phone number (319) 462-6131.

The CLIA number assigned to this NPI record is 16D0387780 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/2/2017 and was last updated on 8/24/2017.


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
1207Q00000XFamily MedicineNo
2363A00000XPhysician AssistantNo
3261QR1300XClinic/CenterRural HealthYes

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: 5/5/2024

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