| NPI | 1477819886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J BOWMAN CEO 563-336-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2013-04-29 |