Provider Demographics
NPI:1801380035
Name:BOWES IOWA INC
Entity Type:Organization
Organization Name:BOWES IOWA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLLURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-878-5833
Mailing Address - Street 1:83 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-2321
Mailing Address - Country:US
Mailing Address - Phone:563-275-3482
Mailing Address - Fax:847-829-8780
Practice Address - Street 1:83 MAIN AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-2321
Practice Address - Country:US
Practice Address - Phone:563-275-3482
Practice Address - Fax:563-503-5035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health