Provider Demographics
NPI:1497956775
Name:LOESS HILLS ORTHOPEDICS
Entity Type:Organization
Organization Name:LOESS HILLS ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO JEMH
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-396-6064
Mailing Address - Street 1:PO BOX 648
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51502-0648
Mailing Address - Country:US
Mailing Address - Phone:402-978-5151
Mailing Address - Fax:402-341-3616
Practice Address - Street 1:1 EDMUNDSON PL STE 200
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-4658
Practice Address - Country:US
Practice Address - Phone:402-978-5151
Practice Address - Fax:402-341-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA08871Medicare ID - Type UnspecifiedGROUP NUMBER