| NPI | 1598216244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE LOCK CEO 319-730-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-06-08 |