| NPI | 1265411284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A HURLBURT Billing Mgr 515-295-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 7613100001) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 0487780001) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-04-09 |