Chsc Ped Screening Center

LBN: State University Of Iowa
Chsc Ped Screening Center is an health care organization with primary practice located at 3501 Harry Langdon Blvd Ste 1450 Child Health Specialty Clinics, Council Bluffs IA 51503-7837. The organization recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as the primary health care specialty. State University Of Iowa can be contacted via phone (712) 309-0041, or through Roudabush, Philip E via phone (319) 384-2334.

Contact Information

Primary practice address
3501 Harry Langdon Blvd Ste 1450 Child Health Specialty Clinics Council Bluffs IA 51503-7837
Phone: (712) 309-0041
Fax: (712) 309-0044
Website:
Map and Directions
Authorized official contact:
Name: Roudabush, Philip E
Phone: (319) 384-2334

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X

Profile Details

NPI number 1225177579
LBN Legal business name State University Of Iowa
DBA Doing business as Chsc Ped Screening Center
Authorized official Roudabush, Philip E
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 1st, 2012 - about 12 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 1225177579 NPPES
Iowa MEDICAID 0734871

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