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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI 1457394645


NPI Information

NPI: 1457394645
Provider Name: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing Business As: MOUNT VERNON FAMILY MEDICINE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
200 VIRGIL AVE SE
MOUNT VERNON, IA
ZIP 52314
Phone: (319) 895-8841
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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION is a durable medical equipment medical supplies in Mount Vernon, IA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI is 1457394645. The provider is registered as an organization entity type.
The provider Is Doing Business As Mount Vernon Family Medicine.

The provider's business location address is:

200 VIRGIL AVE SE
MOUNT VERNON, IA
ZIP 52314-589
Phone: (319) 895-8841
Fax: (319) 895-8477

The provider's authorized official is Erick J Laine .
The authorized official title is Coo and has the following contact phone number (515) 471-9227.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 8/16/2012.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11100240034MEDICARE NSCIOWA

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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