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:
Authorized official contact:
Name: Hendricks, Clifford Doctor of Medicine (MD)
Phone: (319) 362-9855
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043468564 | NPPES |
Iowa | MEDICAID | 0029744 | |
Iowa | Other | 181765472 | |
Iowa | Other | 02974 | |
Iowa | Other | 4501 |
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