Provider Demographics
NPI:1659564797
Name:MUSCATINE URGENT CARE, PLC
Entity Type:Organization
Organization Name:MUSCATINE URGENT CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MAITREYI
Authorized Official - Middle Name:
Authorized Official - Last Name:JANARTHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:563-263-1903
Mailing Address - Street 1:1903 PARK AVE
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-5400
Mailing Address - Country:US
Mailing Address - Phone:563-263-1903
Mailing Address - Fax:
Practice Address - Street 1:1903 PARK AVE
Practice Address - Street 2:SUITE 1500
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-5400
Practice Address - Country:US
Practice Address - Phone:563-263-1903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36998261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAF94469Medicare UPIN