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Great River Medical Services

Family Medicine Physician in West Burlington, IA · enumerated 2006 · authorized official Robert Poetting, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417025230

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Registry record

Entity type Organization (Type 2)
Legal business name Great River Medical Services
Other name <Unavail>
Practice address 1201 W Agency Rd, West Burlington, IA, 52655
Phone (319) 754-4242
Fax (319) 754-4079
Enumeration date Dec 1, 2006
Last updated in NPPES Oct 9, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Poetting
Title Administrator
Phone (319) 754-4242

Other identifiers

Identifier Type State Issuer
0198473 Medicaid IA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Great River Medical Services located?
The practice location on file with NPPES is in West Burlington, IA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-09. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-09.