| Corridor Health Care, Inc. | |
|
4005 Wilson Ave Sw Cedar Rapids IA 52404-6340 | |
| (319) 826-3994 | |
| (319) 826-3996 |
| Full Name | Corridor Health Care, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4005 Wilson Ave Sw, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Michael Simison (PRESIDENT) |
| Authorized Official Contact | 3198263994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corridor Health Care, Inc. 4005 Wilson Ave Sw Cedar Rapids IA 52404-6340 Ph: (319) 826-3994 | Corridor Health Care, Inc. 4005 Wilson Ave Sw Cedar Rapids IA 52404-6340 Ph: (319) 826-3994 |
| NPI Number | 1205100674 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205100674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 37768 (Iowa) | Primary |
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