Kristine M Staheli Jackson in Dubuque - Non-pharmacy Dispensing Site
Kristine M Staheli Jackson - NPI 1205847845
Kristine M Staheli Jackson is a Non-pharmacy Dispensing Site in Dubuque, Iowa. Kristine M Staheli Jackson practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Kristine M Staheli Jackson is 1205847845. The last update date is 2020-08-22.
Kristine M Staheli Jackson's current location address is Hillcrest Family Services Clinic, Dubuque, Iowa. You can contact this provider via phone number 5635836431 and fax number 5635574447. The mailing address for Kristine M Staheli Jackson is Hillcrest Family Services Clinic, Dubuque, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kristine M Staheli Jackson |
|---|---|
| Address | Hillcrest Family Services Clinic, Dubuque, Iowa |
| Phone Number | 5635836431 |
| Fax Number | 5635574447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gansemer Gary |
| Telephone Number | 5635837357 |
NPI Number Detail
| NPI Number | 1205847845 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Hillcrest Family Services Clinic |
|---|---|
| City | Dubuque |
| State | Iowa (IA) |
| Post Code | 52001 |
| Phone Number | 5635836431 |
| Fax Number | 5635574447 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | F066142 |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140087 | IA | -- | |
| 1621653 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the Kristine M Staheli Jackson's 1205847845?
The Kristine M Staheli Jackson's NPI (National Provider Identifier) Number is 1205847845. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kristine M Staheli Jackson is geographically located?
The Kristine M Staheli Jackson is physically situated at the following location: Hillcrest Family Services Clinic, Dubuque, IA, 52001.
What is the Kristine M Staheli Jackson's area of specialization and corresponding taxonomy classification?
The Kristine M Staheli Jackson's specialty field is Non-pharmacy Dispensing Site, and it falls under the taxonomy code 332900000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1205847845 to Kristine M Staheli Jackson?
The Kristine M Staheli Jackson received its 1205847845 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the Kristine M Staheli Jackson's details last updated?
The information pertaining to the Kristine M Staheli Jackson, including its address, specialty, and other details, was most recently updated on 2020-08-22.