John Deere Medical Group Of Waterloo, Pc

LBN: John Deere Medical Group Of Waterloo, Pc
John Deere Medical Group Of Waterloo, Pc is an health care organization with primary practice located at 1015 S Hackett Rd , Waterloo IA 50701-3500. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John Deere Medical Group Of Waterloo, Pc can be contacted via phone (319) 274-1000, or through Hoekstra, Gregory L via phone (319) 274-1016.

Contact Information

Primary practice address
1015 S Hackett Rd Waterloo IA 50701-3500
Phone: (319) 274-1000
Fax: (319) 292-6526
Website:
Map and Directions
Authorized official contact:
Name: Hoekstra, Gregory L Doctor of Osteopathy (DO)
Phone: (319) 274-1016

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01585 Iowa

Profile Details

NPI number 1063525277
LBN Legal business name John Deere Medical Group Of Waterloo, Pc
DBA Doing business as
Authorized official Hoekstra, Gregory L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 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 1063525277 NPPES
Iowa MEDICAID 1097592

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