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PHYSICIANS CLINIC INC. NPI 1497842223


NPI Information

NPI: 1497842223
Provider Name: PHYSICIANS CLINIC, INC.

Doing Business As: METHODIST PHYSICIANS CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 16D2181816

Address:
1001 RISEN SON BOULEVARD
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 396-4360
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PHYSICIANS CLINIC, INC. is a durable medical equipment medical supplies in Council Bluffs, 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. PHYSICIANS CLINIC, INC. NPI is 1497842223. The provider is registered as an organization entity type.
The provider Is Doing Business As Methodist Physicians Clinic.

The provider's business location address is:

1001 RISEN SON BOULEVARD
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 396-4360
Fax: (712) 396-7069

The provider's authorized official is Todd D. Grages .
The authorized official title is President and has the following contact phone number (402) 354-5601.

The CLIA number assigned to this NPI record is 16D2181816 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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

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