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C.a. Hendricks M.d. P.c.
Point of Service in Cedar Rapids, Iowa
NPI 1043468564

C.a. Hendricks M.d. P.c. is a Point of Service based in Cedar Rapids, IA. C.a. Hendricks M.d. P.c. practices in Cedar Rapids, IA. The NPI Number for C.a. Hendricks M.d. P.c. is 1043468564 and holds a License No. 15724 (Iowa).

The current practice location address for C.a. Hendricks M.d. P.c. is 1136 H Ave Ne, Cedar Rapids, IA and can be reached out via phone at 319-362-9855 and via fax at 319-362-0655.

Location: 1136 H Ave Ne, Cedar Rapids, IA, 52402-4624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043468564
Provider Name
C.a. Hendricks M.d. P.c.
Credential
Provider Entity Type
Organization
Address
1136 H Ave Ne, Cedar Rapids, IA, 52402-4624
Phone Number
319-362-9855
Fax Number
319-362-0655
Provider Enumeration Date
09/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0029744 05 IA
181765472 01 RR MEDICARE
02974 01 IA BCBS
4501 01 IA MIDLANDS
institution
Provider Business Practice Location Address Details
Address
1136 H Ave Ne
City
Cedar Rapids
State
Iowa
Zip
52402-4624
Phone Number
319-362-9855
Fax Number
319-362-0655
person
Provider Business Mailing Address Details
Address
1136 H Ave Ne
City
Cedar Rapids
State
Iowa
Zip
52402-4624
Phone Number
319-362-9855
Fax Number
319-362-0655
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
15724 (Iowa)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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