Provider Demographics
NPI:1275151003
Name:LINN COUNTY EMERGENCY MEDICINE PC
Entity Type:Organization
Organization Name:LINN COUNTY EMERGENCY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:PERAUD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-398-6249
Mailing Address - Street 1:6300 RIDGLEA PL STE 201
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-5707
Mailing Address - Country:US
Mailing Address - Phone:817-451-4208
Mailing Address - Fax:817-563-3699
Practice Address - Street 1:1195 BOYSON RD STE 101
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-2218
Practice Address - Country:US
Practice Address - Phone:319-832-3950
Practice Address - Fax:319-832-3951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty