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PENTACREST INC. NPI 1629299672


NPI Information

NPI: 1629299672
Provider Name: PENTACREST, INC.

Other Name: PATHWAYS

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
817 PEPPERWOOD LN
IOWA CITY, IA
ZIP 52240
Phone: (319) 339-6162
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PENTACREST, INC. is an adult day care clinic center in Iowa City, IA. PENTACREST, INC. NPI is 1629299672. The provider is registered as an organization entity type.
The provider Other Name Is Pathways.

The provider's business location address is:

817 PEPPERWOOD LN
IOWA CITY, IA
ZIP 52240-005
Phone: (319) 339-6162
Fax: (319) 339-6164

The provider's authorized official is Erica Batcheler .
The authorized official title is Manager Billing and has the following contact phone number (319) 743-9529.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 9/15/2023.


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
1261QA0600XClinic/CenterAdult Day CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10746644MEDICAIDIOWA

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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