Pruchno Medicine Llc. / Health Transitions Clinic

LBN: Pruchno Medicine Llc. / Health Transitions Clinic
Pruchno Medicine Llc. / Health Transitions Clinic is an health care organization with primary practice located at 202 10Th St Se , Cedar Rapids IA 52403-2414. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Renal is the primary health care specialty. Pruchno Medicine Llc. / Health Transitions Clinic can be contacted via phone (319) 247-3894, or through Clayton, William A. via phone (319) 247-3894.

Contact Information

Primary practice address
202 10Th St Se Cedar Rapids IA 52403-2414
Phone: (319) 247-3894
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clayton, William A.
Phone: (319) 247-3894

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X 079549 Iowa
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 079549 Iowa
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 079549 Iowa
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 079549 Iowa

Profile Details

NPI number 1962934877
LBN Legal business name Pruchno Medicine Llc. / Health Transitions Clinic
DBA Doing business as
Authorized official Clayton, William A.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2017
Last updated Mar 30th, 2017 - about 8 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 1962934877 NPPES
Iowa MEDICAID 1101865

Popular Providers