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General NPI Number Information
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NPI Number | 1053539932
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Entity Type | Organization
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Legal Business Name | CATHOLIC HEALTH INITIATIVES-IOWA CORP.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 1111 6TH AVE
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City | DES MOINES
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State | IA
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Zip | 50314
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Country | US
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Telephone | 515-643-8133
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14584
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City | DES MOINES
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State | IA
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Zip | 50305-3584
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Country | US
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Telephone | 515-643-8133
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Fax |
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Authorized Official
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Title or Position | INTERIM PRESIDENT
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Name | MICHAEL WEGNER
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Credential |
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Telephone | 515-247-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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