Goodwill Industries Of Ne Iowa Inc
LBN: Goodwill Industries Of Ne Iowa Inc
Goodwill Industries Of Ne Iowa Inc is an health care organization with primary practice located at 2640 Falls Ave , Waterloo IA 50701-5722. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Hospice Care, Community Based, Agencies / Community/Behavioral Health. Agencies / Hospice Care, Community Based is the primary health care specialty.
Goodwill Industries Of Ne Iowa Inc can be contacted via phone (319) 234-4626, or through Boyd, David E via phone (319) 234-4626.
Contact Information
Primary practice address
2640 Falls Ave
Waterloo IA 50701-5722
Phone: (319) 234-4626
Fax: (319) 234-2504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Hospice Care, Community Based | 251G00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1760548440 |
|---|---|
| LBN Legal business name | Goodwill Industries Of Ne Iowa Inc |
| DBA Doing business as | |
| Authorized official | Boyd, David E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Oct 10th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760548440 | NPPES |
| Iowa | MEDICAID | 0234286 | |
| Iowa | MEDICAID | 0741801 |
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