Provider Demographics
NPI:1780097261
Name:UNITYPOINT HEALTH - FINLEY VITACARE
Entity type:Organization
Organization Name:UNITYPOINT HEALTH - FINLEY VITACARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BRUNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:608-778-6778
Mailing Address - Street 1:1665 EMBASSY WEST DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2276
Mailing Address - Country:US
Mailing Address - Phone:563-585-1290
Mailing Address - Fax:563-585-1274
Practice Address - Street 1:1665 EMBASSY WEST DR
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2276
Practice Address - Country:US
Practice Address - Phone:563-585-1290
Practice Address - Fax:563-585-1274
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITYPOINT HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA073773282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID601179Medicare UPIN