Great River Aea 16

LBN: Great River Aea 16
Great River Aea 16 is an health care organization with primary practice located at 3601 West Avenue Road , Burlington IA 52601. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Great River Aea 16 can be contacted via phone (319) 753-6561, or through Hamarstrom, Jeff via phone (319) 753-6561.

Contact Information

Primary practice address
3601 West Avenue Road Burlington IA 52601
Phone: (319) 753-6561
Fax: (319) 753-1527
Website:
Map and Directions
Authorized official contact:
Name: Hamarstrom, Jeff
Phone: (319) 753-6561

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1023173853
LBN Legal business name Great River Aea 16
DBA Doing business as
Authorized official Hamarstrom, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023173853 NPPES
Iowa MEDICAID 0051250

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