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NPI Code Detail

MEDICARE: PENTACREST, INC.

MEDICARE: PENTACREST, INC.
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
1261QA0600XAdult Day Care Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1629299672
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENTACREST, INC.
Provider Business Mailing Address
First Line : 800 1ST ST NW
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52405-2713
Country : US
Telephone Number : 319-398-3644
Fax Number : 319-398-3937
Provider Business Practice Location Address
First Line : 817 PEPPERWOOD LN
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-7005
Country : US
Telephone Number : 319-339-6162
Fax Number : 319-339-6164
Authorized Official
Title or Position : MANAGER BILLING
Name : ERICA BATCHELER
Credential :
Telephone Number : 319-743-9529
Provider Enumeration Date : 05/01/2007
Last Update Date : 09/15/2023

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Directions to “PENTACREST, INC. ” Practice Location

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