Provider Demographics
NPI:1033532718
Name:CATHOLIC HEALTH INITIATIVES-IOWA CORP
Entity Type:Organization
Organization Name:CATHOLIC HEALTH INITIATIVES-IOWA CORP
Other - Org Name:MERCY ONE-KNOXVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-247-4273
Mailing Address - Street 1:PO BOX 677080
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-7080
Mailing Address - Country:US
Mailing Address - Phone:515-226-7937
Mailing Address - Fax:
Practice Address - Street 1:1545 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-8600
Practice Address - Country:US
Practice Address - Phone:515-643-2640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA87702003416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport