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:
Map and Directions
Authorized official contact:
Name: Boyd, David E
Phone: (319) 234-4626

Health care specialties

SpecialtyCodeLicense #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 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760548440 NPPES
Iowa MEDICAID 0234286
Iowa MEDICAID 0741801

Popular Providers