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General NPI Number Information
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NPI Number | 1891746434
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Entity Type | Organization
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Legal Business Name | CENTRAL IOWA HOSPITAL CORPORATION
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 1551 S 3RD ST
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City | GRIMES
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State | IA
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Zip | 50111-8861
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Country | US
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Telephone | 515-986-4524
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Fax | 515-986-4531
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Provider Business Mailing Address
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Address Line | 5409 NW 88TH ST SUITE 200
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City | JOHNSTON
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State | IA
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Zip | 50131-2949
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Country | US
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Telephone | 515-362-5980
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Fax | 515-362-5985
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Authorized Official
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Title or Position | CFO
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Name | MR. JOSEPH F. CORFITS JR.
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Credential |
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Telephone | 515-241-6507
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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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