Healthcare Provider Details

I. General information

NPI: 1720056492
Provider Name (Legal Business Name): WOMENS HEALTH SERVICES OF EASTERN IOWA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 LINCOLN WAY STE A
CLINTON IA
52732-7203
US

IV. Provider business mailing address

2635 LINCOLN WAY STE A
CLINTON IA
52732-7229
US

V. Phone/Fax

Practice location:
  • Phone: 563-243-1413
  • Fax: 563-242-9992
Mailing address:
  • Phone: 563-243-1413
  • Fax: 563-242-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LEIGH MONTGOMERY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 563-243-1413