Organization · Type 2 NPI

Board of Trustees Grand Charity Fund Grand Lodge of Iowa A F & A M

Skilled Nursing Facility · Bettendorf, IA

NPI number 1164598868 Active

Practice location

2500 Grant St
Bettendorf, IA 52722-5092

Fax (563) 359-6900

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	820296 (IA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1164598868
Entity type: Organization (Type 2)
Issued: Nov 27, 2006
Last updated: Apr 19, 2024
Status: Active

Other names

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Iowa Masonic Health Facilities · doing business as
Iowa Masonic Health Facilities · doing business as

Authorized official

Tami Tegeler
Executive Director
(815) 499-7751

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164598868

Board of Trustees Grand Charity Fund Grand Lodge of Iowa A F & A M's National Provider Identifier is 1164598868, issued on Nov 27, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bettendorf, IA. The record was last updated on Apr 19, 2024.