West Broadway Clinic, Pc

LBN: West Broadway Clinic, Pc
West Broadway Clinic, Pc is an health care organization with primary practice located at 16 S 17Th St , Council Bluffs IA 51501-3818. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. West Broadway Clinic, Pc can be contacted via phone (712) 256-5600, or through Marar, Isam Elias via phone (712) 256-5600.

Contact Information

Primary practice address
16 S 17Th St Council Bluffs IA 51501-3818
Phone: (712) 256-5600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marar, Isam Elias Doctor of Medicine (MD)
Phone: (712) 256-5600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1407031230
LBN Legal business name West Broadway Clinic, Pc
DBA Doing business as
Authorized official Marar, Isam Elias Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Dec 28th, 2007 - about 17 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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