CJ ELMWOOD PARTNERS L P NPI 1780661967

NPI Information

NPI: 1780661967
Provider Name: CJ ELMWOOD PARTNERS L P
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4405 HAMILTON BLVD
SIOUX CITY, IA
ZIP 51104
Phone: (712) 239-3937
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CJ ELMWOOD PARTNERS L P is an ambulatory surgical clinic center in Sioux City, IA. CJ ELMWOOD PARTNERS L P NPI is 1780661967. The provider is registered as an organization entity type.

The provider's business location address is:

4405 HAMILTON BLVD
SIOUX CITY, IA
ZIP 51104-140
Phone: (712) 239-3937
Fax: (712) 239-4946

The provider's authorized official is Charles E Jones .
The authorized official title is Medical Director and has the following contact phone number (712) 239-3937.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 3/14/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	NOT APPLICABLE	IOWA	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
1	5490075	MEDICAID	SOUTH DAKOTA
2	0610188	MEDICAID	IOWA
3	351713600	MEDICAID	MINNESOTA

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

NPI Synchronization or Removal

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