Provider Demographics
NPI:1770623746
Name:AGING SERVICES
Entity type:Organization
Organization Name:AGING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER BILLING
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATCHELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-743-9529
Mailing Address - Street 1:740 N 15TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-2384
Mailing Address - Country:US
Mailing Address - Phone:319-398-3634
Mailing Address - Fax:319-398-4096
Practice Address - Street 1:1725 O AVE NW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-1520
Practice Address - Country:US
Practice Address - Phone:319-398-3644
Practice Address - Fax:319-286-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0178640Medicaid