| NPI | 1861416307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MORTOZA CEO 515-465-7600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 250157H) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 261QC0050X Clinic/Center, Critical Access Hospital | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 250157H) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-02-19 |