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NPI Code Detail

MEDICARE: HAWKEYE EMERGENCY PHYSICIANS

MEDICARE: HAWKEYE EMERGENCY PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
237119OTHERIABLUE SHIELD

General Provider Information

NPI Number : 1104930791
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAWKEYE EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 8120
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-8120
Country : US
Telephone Number : 800-444-7009
Fax Number : 800-305-3233
Provider Business Practice Location Address
First Line : 800 S FILLMORE ST
Second Line :
City : OSCEOLA
State : IA
Zip : 50213-1619
Country : US
Telephone Number : 641-342-2184
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : JAMES L. MURPHY
Credential :
Telephone Number : 800-444-7009
Provider Enumeration Date : 08/19/2006
Last Update Date : 04/20/2008

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Directions to “HAWKEYE EMERGENCY PHYSICIANS ” Practice Location

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