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C.A. HENDRICKS M.D. P.C.

Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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Contact Information

C.A. HENDRICKS M.D. P.C.
1136 H AVE NE
CEDAR RAPIDS, IA  52402-4624
 Phone: 319-362-9855
 Fax: 319-362-0655
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Point of Service

 305S00000X
Indicates primary specialty

NPI Profile & details for C.A. HENDRICKS M.D. P.C.

NPI Number 1043468564
LBN Legal business name C.A. HENDRICKS M.D. P.C.
Authorized official CLIFFORD HENDRICKS - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2008
Last updated 09/09/2008 - About 18 years ago
Identifiers
IA License # 15724
IA Medicaid 0029744
Other 181765472 RR MEDICARE
IA Other 02974 BCBS
IA Other 4501 MIDLANDS
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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