Healthcare Provider Details

I. General information

NPI: 1912032442
Provider Name (Legal Business Name): WOMENS HEALTH SERVICES OF EASTERN IOWA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
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
52732-7203
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 TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateIA

VIII. Authorized Official

Name: CAROL MACHAEL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 563-243-1413