REED M. BOUCHEY, M.D., P.C.; NPI #1194904326

Contact Information

REED M. BOUCHEY, M.D., P.C.

501 S WHITE ST
SUITE 105
MOUNT PLEASANT, IA 52641-2600

Phone: 319-385-6775
Fax: 319-385-6778
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for REED M. BOUCHEY, M.D., P.C.

NPI # 1194904326

LBN Legal business name REED M. BOUCHEY, M.D., P.C.

Authorized official REED BOUCHEY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/24/2007

Last updated 01/03/2008 - About 18 years ago

Identifiers

IA	License #	26041
IA	Medicaid	0100297
IA	Other	12294	BLUE SHIELD
IA	Other	372521983526410000	TRICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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