Provider Demographics
NPI:1952597536
Name:HIS HANDS FREE CLINIC
Entity type:Organization
Organization Name:HIS HANDS FREE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:319-862-2636
Mailing Address - Street 1:1245 2ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-4001
Mailing Address - Country:US
Mailing Address - Phone:319-862-2636
Mailing Address - Fax:319-862-1107
Practice Address - Street 1:1245 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-4001
Practice Address - Country:US
Practice Address - Phone:319-862-2636
Practice Address - Fax:319-862-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable