Healthcare Provider Details
I. General information
NPI: 1386611291
Provider Name (Legal Business Name): EAST CENTRAL IOWA ACUTE CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2006
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1026 A AVE NE
CEDAR RAPIDS IA
52402-5036
US
IV. Provider business mailing address
1026 A AVE NE
CEDAR RAPIDS IA
52402-5036
US
V. Phone/Fax
- Phone: 319-369-7105
- Fax:
- Phone: 319-369-7105
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
J.
CURNES
Title or Position: DO
Credential: DO
Phone: 563-557-7000