Great River Medical Group
LBN: Great River Medical Group
Great River Medical Group is an health care organization with primary practice located at 4626 Progress Dr , Davenport IA 52807-3483. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Great River Medical Group can be contacted via phone (563) 441-9100, or through Kopp, Lisa A via phone (563) 441-9100.
Contact Information
Primary practice address
4626 Progress Dr
Davenport IA 52807-3483
Phone: (563) 441-9100
Fax: (563) 441-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 03155 | Iowa |
Profile Details
| NPI number | 1750360251 |
|---|---|
| LBN Legal business name | Great River Medical Group |
| DBA Doing business as | |
| Authorized official | Kopp, Lisa A Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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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