Clc Polk City

LBN: Centers For Long Term Care Of Iowa
Clc Polk City is an health care organization with primary practice located at 1002 W Washington Ave , Polk City IA 50226-2132. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Centers For Long Term Care Of Iowa can be contacted via phone (515) 984-6511, or through Trebert, Gary R via phone (817) 359-2000.

Contact Information

Primary practice address
1002 W Washington Ave Polk City IA 50226-2132
Phone: (515) 984-6511
Fax: (515) 984-9294
Website:
Map and Directions
Authorized official contact:
Name: Trebert, Gary R
Phone: (817) 359-2000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1912967506
LBN Legal business name Centers For Long Term Care Of Iowa
DBA Doing business as Clc Polk City
Authorized official Trebert, Gary R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1912967506 NPPES
Iowa MEDICAID 0805192

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