| NPI | 1932193224 |
|---|---|
| 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) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2018-06-21 |