Great River Orthopaedic Surgery & Sports Medicine Pc
LBN: Great River Orthopaedic Surgery & Sports Medicine Pc
Great River Orthopaedic Surgery & Sports Medicine Pc is an health care organization with primary practice located at 1225 S Gear Ave Ste 256, West Burlington IA 52655-1691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty.
Great River Orthopaedic Surgery & Sports Medicine Pc can be contacted via phone (319) 752-1700, or through Hill, Gregory R via phone (319) 752-1700.
Contact Information
Primary practice address
1225 S Gear Ave Ste 256
West Burlington IA 52655-1691
Phone: (319) 752-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 35185 | Iowa |
Profile Details
| NPI number | 1578646196 |
|---|---|
| LBN Legal business name | Great River Orthopaedic Surgery & Sports Medicine Pc |
| DBA Doing business as | |
| Authorized official | Hill, Gregory R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578646196 | NPPES |
| Iowa | MEDICAID | 1290973 | |
| Iowa | Other | 240008 | |
| Iowa | Other | DD0905 | |
| Iowa | Other | 38470 |
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