Great River Women'S Health

LBN: Great River Women'S Health
Great River Women'S Health is an health care organization with primary practice located at 1223 S Gear Ave Ste 208, West Burlington IA 52655-1682. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Great River Women'S Health can be contacted via phone (319) 752-4541, or through Bauer, Lisa A via phone (319) 752-4541.

Contact Information

Primary practice address
1223 S Gear Ave Ste 208 West Burlington IA 52655-1682
Fax: (319) 752-4541
Website:
Authorized official contact:
Name: Bauer, Lisa A Certified Medical Assistant (CMA)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1902866478
LBN Legal business name Great River Women'S Health
DBA Doing business as
Authorized official Bauer, Lisa A Certified Medical Assistant (CMA)
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 1902866478 NPPES
Iowa Other 51133 WELLMARK BCBS
Iowa MEDICAID 0123299 WELLMARK BCBS

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