MEDICARE: EASTERN IOWA HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1437600053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTERN IOWA HEALTH CENTER

Provider Business Mailing Address
First Line	:	PO BOX 2205
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52406-2205
Country	:	US
Telephone Number	:	319-730-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 4TH AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-4085
Country	:	US
Telephone Number	:	319-730-7300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMES LOCK
Credential	:
Telephone Number	:	319-730-7300

Provider Enumeration Date	:	10/19/2016
Last Update Date	:	06/16/2026

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Directions to “EASTERN IOWA HEALTH CENTER ” Practice Location

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