| NPI | 1669802955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD PATTERSON CEO 319-863-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2020-01-08 |