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BLACK HAWK CENTER FOR INDEPENDENT LIVING

Bus

A public or private organization or business licensed to provide bus services.

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Contact Information

BLACK HAWK CENTER FOR INDEPENDENT LIVING
312 JEFFERSON ST
WATERLOO, IA  50701-1322
 Phone: 319-291-7755
 Fax: 319-291-7781
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Bus

 347B00000X
Indicates primary specialty

NPI Profile & details for BLACK HAWK CENTER FOR INDEPENDENT LIVING

NPI # 1902024417
LBN Legal business name BLACK HAWK CENTER FOR INDEPENDENT LIVING
Authorized official DAVID SCHUMAKER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # 0454736
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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