CEDAR VALLEY MEDICAL SPECIALISTS PC NPI 1780042366

NPI Information

  • NPI: 1780042366
  • Provider Name: CEDAR VALLEY MEDICAL SPECIALISTS, PC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 16D2133355
  • Address: 4006 JOHNATHAN ST
    STE B
    WATERLOO, IA
    ZIP 50701
  • Phone: (319) 233-0222

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NPI Details

CEDAR VALLEY MEDICAL SPECIALISTS, PC is a durable medical equipment medical supplies in Waterloo, 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. CEDAR VALLEY MEDICAL SPECIALISTS, PC NPI is 1780042366. The provider is registered as an organization entity type.

The provider's business location address is:

4006 JOHNATHAN ST
STE B
WATERLOO, IA
ZIP 50701-395
Phone: (319) 233-0222
Fax: (319) 287-8094

The provider's authorized official is Gilmore Irey .
The authorized official title is Ceo and has the following contact phone number (319) 235-5390.

The CLIA number assigned to this NPI record is 16D2133355 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2016 and was last updated on 2/24/2016.

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
171927MEDICARE PIN
21497794242MEDICAIDIOWA

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: 3/30/2025

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