Gary Volentine Md
LBN: Gary Volentine Md
Gary Volentine Md is an health care organization with primary practice located at 801 Harmony St Suite 404, Council Bluffs IA 51503-3106. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Gary Volentine Md can be contacted via phone (712) 322-2332, or through Colegrove, Tammy K via phone (712) 322-2332.
Contact Information
Primary practice address
801 Harmony St Suite 404
Council Bluffs IA 51503-3106
Phone: (712) 322-2332
Fax: (712) 322-5122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 21611 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 107489 | Iowa |
Profile Details
| NPI number | 1861551665 |
|---|---|
| LBN Legal business name | Gary Volentine Md |
| DBA Doing business as | |
| Authorized official | Colegrove, Tammy K ARNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Oct 16th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861551665 | NPPES |
| Iowa | MEDICAID | 3941278 |
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