Great River Surgeons

LBN: Southeastern Iowa Medical Services
Great River Surgeons is an health care organization with primary practice located at 1223 S Gear Ave Ste 202, West Burlington IA 52655-1685. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Southeastern Iowa Medical Services can be contacted via phone (319) 768-4350, or through Collier, Lynette via phone (319) 768-4100.

Contact Information

Primary practice address
1223 S Gear Ave Ste 202 West Burlington IA 52655-1685
Fax: (319) 768-4355
Website:
Authorized official contact:
Name: Collier, Lynette

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21014 Iowa

Profile Details

NPI number 1902865082
LBN Legal business name Southeastern Iowa Medical Services
DBA Doing business as Great River Surgeons
Authorized official Collier, Lynette
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902865082 NPPES
Iowa Other 70239 BLUE CROSS
Iowa MEDICAID 0085811 BLUE CROSS
Iowa MEDICAID 1497723266 BLUE CROSS
Iowa Other C01404 BLUE CROSS
Iowa Other P00424550 BLUE CROSS

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