Provider Demographics
NPI:1952908956
Name:DARBIE LITTLE-COOPER, PLLC
Entity Type:Organization
Organization Name:DARBIE LITTLE-COOPER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DARBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LITTLE-COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-569-6008
Mailing Address - Street 1:1570 S 1ST AVE STE P
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6079
Mailing Address - Country:US
Mailing Address - Phone:319-569-6008
Mailing Address - Fax:563-227-4112
Practice Address - Street 1:1570 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6012
Practice Address - Country:US
Practice Address - Phone:563-650-9465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1801180427Medicaid