MEDICAL ASSOCIATES CLINIC P C NPI 1457300790

NPI Information

NPI: 1457300790
Provider Name: MEDICAL ASSOCIATES CLINIC P C
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 16D0922993

Address:
1500 ASSOCIATES DR
DUBUQUE, IA
ZIP 52002
Phone: (563) 584-4100
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MEDICAL ASSOCIATES CLINIC P C is a multi-specialty clinic center in Dubuque, IA. MEDICAL ASSOCIATES CLINIC P C NPI is 1457300790. The provider is registered as an organization entity type.

The provider's business location address is:

1500 ASSOCIATES DR
DUBUQUE, IA
ZIP 52002-201
Phone: (563) 584-4100
Fax: (563) 584-4110

The provider's authorized official is Zachary C Keeling .
The authorized official title is C.e.o. and has the following contact phone number (563) 584-4100.

The CLIA number assigned to this NPI record is 16D0922993 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 3/22/2024.

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	261QM1300X	Clinic/Center	Multi-Specialty			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	3261600	MEDICAID	WISCONSIN
2	0016998	MEDICAID	IOWA

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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