HEALTHSOURCE OF IOWA CITY, PC
NPI 1336408640
Clinic/Center - Medical Specialty in Iowa City, IA

Q: What is Healthsource Of Iowa City, PC's NPI number?

The NPI number for Healthsource Of Iowa City, PC is 1336408640. It was assigned to this organization in the NPPES registry on May 7, 2012.

Q: What is Healthsource Of Iowa City, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since May 07, 2012

960 S 1ST AVE, IOWA CITY, IA 52245(563) 508-9036 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Healthsource Of Iowa City, Pc NPPES

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

HEALTHSOURCE OF IOWA CITY, PC (NPI 1336408640) is a healthcare organization registered as a medical specialty in Iowa City, Iowa and active in the NPI registry since May 2012. The organization lists Jeffrey Wisdo, President, as its authorized official.

NPPES Registry Identity

NPI1336408640

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameHEALTHSOURCE OF IOWA CITY, PC

Location Address960 S 1ST AVEIowa City, IA 52245-5210

Mailing Address960 S 1st AveIowa City, IA 52245-5210

Phone(563) 508-9036

Organization SubpartNo

Authorized OfficialJeffrey WisdoPresident · (563) 508-9036

Enumeration DateMay 7, 2012

✔ NPI 1336408640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

960 S 1ST AVE, Iowa City, IA 52245

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW BERRY PA-C

Physician Assistant

960 S 1ST AVE
IOWA CITY, IA 52245

Johnson County (319) 688-7777

MRS. PETRINA A NAUMAN MSN ARNP

Nurse Practitioner (Family)

960 S 1ST AVE
IOWA CITY, IA 52245

Johnson County (319) 688-7777

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 Healthsource Of Iowa City, PC's NPI number?

The NPI number for Healthsource Of Iowa City, PC is 1336408640. It was assigned to this organization in the NPPES registry on May 7, 2012.

Where is Healthsource Of Iowa City, PC located?

Healthsource Of Iowa City, PC is located at 960 S 1st Ave, Iowa City, IA 52245. The listed phone number is (563) 508-9036.

What is Healthsource Of Iowa City, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Healthsource Of Iowa City, PC was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.