Provider Demographics
NPI:1417013285
Name:ADAMS & BAUMBACH ASSOC., P.C.
Entity type:Organization
Organization Name:ADAMS & BAUMBACH ASSOC., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAUMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:319-351-6654
Mailing Address - Street 1:320 KIRKWOOD AVE
Mailing Address - Street 2:STE. 1
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4754
Mailing Address - Country:US
Mailing Address - Phone:319-351-6654
Mailing Address - Fax:319-339-0905
Practice Address - Street 1:320 KIRKWOOD AVE
Practice Address - Street 2:STE. 1
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4754
Practice Address - Country:US
Practice Address - Phone:319-351-6654
Practice Address - Fax:319-358-6842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty