Provider Demographics
NPI:1760684781
Name:GRAU CONSTRUCTION CO
Entity Type:Organization
Organization Name:GRAU CONSTRUCTION CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:GRAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-232-4584
Mailing Address - Street 1:2716 SE 5TH ST
Mailing Address - Street 2:STE #1
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-7713
Mailing Address - Country:US
Mailing Address - Phone:515-232-4584
Mailing Address - Fax:515-233-5349
Practice Address - Street 1:2716 SE 5TH ST
Practice Address - Street 2:STE #1
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-7713
Practice Address - Country:US
Practice Address - Phone:515-232-4584
Practice Address - Fax:515-233-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0742536Medicaid