| NPI | 1811257678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM BOWMAN CEO 563-336-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2013-04-29 |