Provider Demographics
NPI:1295047744
Name:URGENT CARE OF NEWTON, P.C.
Entity type:Organization
Organization Name:URGENT CARE OF NEWTON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-792-7640
Mailing Address - Street 1:321 E 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-3210
Mailing Address - Country:US
Mailing Address - Phone:641-792-7640
Mailing Address - Fax:641-792-4029
Practice Address - Street 1:321 E 3RD ST N
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3210
Practice Address - Country:US
Practice Address - Phone:641-792-7640
Practice Address - Fax:641-792-4029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty