NPI 1811207889

Pace Iowa

Organisation PACE Provider Organization Council Bluffs, IA

Practice location

Address: 1702 N 16th St, Council Bluffs, IA 51501-0121
Phone: (712) 256-7284
Mailing address: 6757 Newport Ave Suite 200, Omaha, NE 68152-2262

Authorised official

Name: Andrew J Fisher
Title: Vp of Community Operations
Phone: (402) 829-2954

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Iowa →

Registry record

NPI: 1811207889
Entity type: Organization
NPI issued: 8 Oct 2010
Record last updated: 17 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.