| |
1005 Pennsylvania Ave, Ste 110, Ottumwa, IA 52501-6413 | |
(641) 682-8571 | |
(641) 682-8573 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 1005 Pennsylvania Ave, Ottumwa, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811088586 | NPI | - | NPPES |
0181404 | Medicaid | IA | |
0181420 | Medicaid | IA |
Mailing Address | Practice Location Address |
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1005 Pennsylvania Ave, Ste 110, Ottumwa, IA 52501-6413 Ph: (641) 682-8571 | 1005 Pennsylvania Ave, Ste 110, Ottumwa, IA 52501-6413 Ph: (641) 682-8571 |