Great River Spine

LBN: Southeastern Iowa Medical Services
Great River Spine is an health care organization with primary practice located at 1225 S Gear Ave , 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. Southeastern Iowa Medical Services can be contacted via phone (319) 768-3323, or through Clawson, Cheryl via phone (319) 768-3628.

Contact Information

Primary practice address
1225 S Gear Ave West Burlington IA 52655-1691
Phone: (319) 768-3323
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clawson, Cheryl
Phone: (319) 768-3628

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1659573483
LBN Legal business name Southeastern Iowa Medical Services
DBA Doing business as Great River Spine
Authorized official Clawson, Cheryl
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1659573483 NPPES
Iowa Other 2863540001 DME NUMBER

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