Healthcare Provider Details

I. General information

NPI: 1871059576
Provider Name (Legal Business Name): IOWA HARM REDUCTION COALITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 02/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 2ND AVE SE
CEDAR RAPIDS IA
52403-4002
US

IV. Provider business mailing address

1639 MORNINGSIDE DR
IOWA CITY IA
52245-4434
US

V. Phone/Fax

Practice location:
  • Phone: 319-249-1853
  • Fax:
Mailing address:
  • Phone: 563-451-2766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW BEELER
Title or Position: HARM REDUCTION SERVICES COORDINATOR
Credential:
Phone: 563-451-2766