KRISTINE M STAHELI JACKSON
NPI 1205847845
Non-Pharmacy Dispensing Site in Dubuque, IA

Q: What is Kristine M Staheli Jackson's NPI number?

The NPI number for Kristine M Staheli Jackson is 1205847845. It was assigned to this organization in the NPPES registry on August 10, 2006.

Q: What is Kristine M Staheli Jackson's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since August 10, 2006

HILLCREST FAMILY SERVICES CLINIC, 220 W 7TH ST, DUBUQUE, IA 52001(563) 583-6431(563) 557-4447 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kristine M Staheli Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE M STAHELI JACKSON (NPI 1205847845) is a healthcare organization registered as a non-pharmacy dispensing site in Dubuque, Iowa and active in the NPI registry since August 2006. The organization lists Gary Gansemer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205847845

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameKRISTINE M STAHELI JACKSON

Location AddressHILLCREST FAMILY SERVICES CLINIC, 220 W 7TH STDubuque, IA 52001

Mailing AddressPo Box 116Dubuque, IA 52004-0116

Phone(563) 583-6431

Fax(563) 557-4447

Organization SubpartNo

Authorized OfficialGary GansemerCeo · (563) 583-7357

Enumeration DateAugust 10, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205847845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in IA · F066142

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

HILLCREST FAMILY SERVICES CLINIC, Dubuque, IA 52001

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Other Identifiers 2

Medicaid0140087IA

Other1621653Other Id Number-commercial Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine M Staheli Jackson's NPI number?

The NPI number for Kristine M Staheli Jackson is 1205847845. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Kristine M Staheli Jackson located?

Kristine M Staheli Jackson is located at Hillcrest Family Services Clinic 220 W 7th St, Dubuque, IA 52001. The listed phone number is (563) 583-6431.

What is Kristine M Staheli Jackson's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Kristine M Staheli Jackson was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.