Cedar Valley Medical Specialists Pc

LBN: Cedar Valley Medical Specialists Pc
Cedar Valley Medical Specialists Pc is an health care organization with primary practice located at 1753 W Ridgeway Ave Suite 112, Waterloo IA 50701-4588. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Cedar Valley Medical Specialists Pc can be contacted via phone (319) 833-5954, or through Irey, Gilmore John via phone (319) 235-5390.

Contact Information

Primary practice address
1753 W Ridgeway Ave Suite 112 Waterloo IA 50701-4588
Phone: (319) 833-5954
Fax: (319) 833-5955
Website:
Map and Directions
Authorized official contact:
Name: Irey, Gilmore John
Phone: (319) 235-5390

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1134174824
LBN Legal business name Cedar Valley Medical Specialists Pc
DBA Doing business as
Authorized official Irey, Gilmore John
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2006
Last updated Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134174824 NPPES
Iowa MEDICAID 0436568

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