C.A. Hendricks M.D. P.C.

LBN: C.A. Hendricks M.D. P.C.
C.A. Hendricks M.D. P.C. is an health care organization with primary practice located at 1136 H Ave Ne , Cedar Rapids IA 52402-4624. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. C.A. Hendricks M.D. P.C. can be contacted via phone (319) 362-9855, or through Hendricks, Clifford via phone (319) 362-9855.

Contact Information

Primary practice address
1136 H Ave Ne Cedar Rapids IA 52402-4624
Phone: (319) 362-9855
Fax: (319) 362-0655
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Clifford Doctor of Medicine (MD)
Phone: (319) 362-9855

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 15724 Iowa

Profile Details

NPI number 1043468564
LBN Legal business name C.A. Hendricks M.D. P.C.
DBA Doing business as
Authorized official Hendricks, Clifford Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043468564 NPPES
Iowa MEDICAID 0029744
Iowa Other 181765472
Iowa Other 02974
Iowa Other 4501

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