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

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: July 26, 2026.

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
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

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.

Physician Assistant
960 S 1ST AVE
IOWA CITY, IA 52245
Nurse Practitioner (Family)
960 S 1ST AVE
IOWA CITY, IA 52245

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 with the weekly NPPES data releases published by CMS.