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NPI Code Detail

MEDICARE: IOWA CITY FREE MEDICAL CLINIC

MEDICARE: IOWA CITY FREE MEDICAL CLINIC
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
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1609004811
Entity Type Code : Organization
Provider Name (Legal Business Name) : IOWA CITY FREE MEDICAL CLINIC
Provider Business Mailing Address
First Line : 2440 TOWNCREST DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-6622
Country : US
Telephone Number : 319-337-4459
Fax Number : 319-341-0054
Provider Business Practice Location Address
First Line : 2440 TOWNCREST DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-6622
Country : US
Telephone Number : 319-337-4459
Fax Number : 319-341-0054
Authorized Official
Title or Position : CO-DIRECTOR
Name : MS. BARBARA VINOGRADE
Credential :
Telephone Number : 319-337-4459
Provider Enumeration Date : 06/25/2009
Last Update Date : 06/25/2009

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Directions to “IOWA CITY FREE MEDICAL CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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