Healthcare Provider Details

I. General information

NPI: 1285693531
Provider Name (Legal Business Name): VETERANS AFFAIRS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HIGHWAY 6 WEST
IOWA CITY IA
52246
US

IV. Provider business mailing address

601 HIGHWAY 6 W
IOWA CITY IA
52246-2292
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-0581
  • Fax: 319-887-4923
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number000833
License Number StateIA

VIII. Authorized Official

Name: RITA M DHONDT
Title or Position: CARDIOLOGY PHYSICIAN ASSISTANT
Credential: PA-C
Phone: 319-338-0581