| NPI | 1710971486 |
|---|---|
| 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 | 2005-09-08 |
| Last Update Date | 2013-04-18 |