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TRI-STATE FAMILY PRACTICE LLP NPI 1699723775


NPI Information

NPI: 1699723775
Provider Name: TRI-STATE FAMILY PRACTICE LLP
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 16D0667913

Address:
1500 DELHI ST
SUITE 4100
DUBUQUE, IA
ZIP 52001
Phone: (563) 557-5900
Get Directions

TRI-STATE FAMILY PRACTICE LLP is a legal medicine in Dubuque, IA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. TRI-STATE FAMILY PRACTICE LLP NPI is 1699723775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 DELHI ST
SUITE 4100
DUBUQUE, IA
ZIP 52001-358
Phone: (563) 557-5900
Fax: (563) 557-5905

The provider's authorized official is Barbara A Tlamka .
The authorized official title is Office Manager and has the following contact phone number (563) 557-5900.

The CLIA number assigned to this NPI record is 16D0667913 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10146019MEDICAIDIOWA
255321OTHERIOWAGROUP BCBS IDENTIFICATION
355321MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.