Great River Medical Services in West Burlington - Family Medicine
Great River Medical Services - NPI 1417025230
Great River Medical Services is a Family Medicine in West Burlington, Iowa. Great River Medical Services practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Great River Medical Services is 1417025230. The last update date is 2007-10-09.
Great River Medical Services's current location address is 1201 W Agency Rd, West Burlington, Iowa. You can contact this provider via phone number 3197544242 and fax number 3197544079. The mailing address for Great River Medical Services is 1201 W Agency Rd, West Burlington, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great River Medical Services |
|---|---|
| Address | 1201 W Agency Rd, West Burlington, Iowa |
| Phone Number | 3197544242 |
| Fax Number | 3197544079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Poetting S Robert |
| Telephone Number | 3197544242 |
NPI Number Detail
| NPI Number | 1417025230 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
| Address | 1201 W Agency Rd |
|---|---|
| City | West Burlington |
| State | Iowa (IA) |
| Post Code | 526551645 |
| Phone Number | 3197544242 |
| Fax Number | 3197544079 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 198473 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Great River Medical Services?
The Great River Medical Services has been issued the NPI (National Provider Identifier) 1417025230 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Great River Medical Services?
The Great River Medical Services is situated at 1201 W Agency Rd, in the city of West Burlington, state of IA, with the zip code 526551645.
What is Great River Medical Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great River Medical Services is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Great River Medical Services receive the assignment of its 1417025230 from the Centers for Medicare & Medicaid Services?
The Great River Medical Services was issued its 1417025230 by the Centers for Medicare & Medicaid Services on 2006-12-01.
As of what date were the details pertaining to Great River Medical Services last refreshed?
The information related to the Great River Medical Services, including its address, specialty, and other relevant details, was last updated on 2007-10-09.