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General NPI Number Information
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NPI Number | 1639061583
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Entity Type | Organization
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Legal Business Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1120 HIGHWAY 20
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City | CORRECTIONVILLE
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State | IA
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Zip | 51016-8055
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Country | US
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Telephone | 712-372-4145
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 843151
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City | KANSAS CITY
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State | MO
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Zip | 64184-3151
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA K. NEWLAND
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Credential |
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Telephone | 515-285-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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