INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.; NPI #1295905099

Contact Information

INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

25 S 15TH ST
SUITE 1
COUNCIL BLUFFS, IA 51501-3900

Phone: 712-323-0062
Fax: 712-323-5369
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

NPI Number 1295905099

LBN Legal business name INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

Authorized official RUBEN ALTMAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/07/2008

Last updated 03/07/2008 - About 18 years ago

Identifiers

IA	License #	19162
IA	Medicaid	0092007

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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INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

Contact Information

Specialty

Primary Care

NPI Profile & details for INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.

Reviews for INTERNAL MEDICINE OF COUNCIL BLUFFS P.C.