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1000 10th Ave Ackley IA 50601-1701 | |
(641) 847-2625 | |
(641) 847-2509 |
Full Name | |
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Speciality | Family Medicine |
Location | 1000 10th Ave, Ackley, Iowa |
Authorized Official Name and Position | George Von Mock (CEO) |
Authorized Official Contact | 6416487010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 10th Avenue Ackley IA 50601-1456 Ph: (641) 847-2625 | 1000 10th Ave Ackley IA 50601-1701 Ph: (641) 847-2625 |
NPI Number | 1356359061 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 11/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356359061 | NPI | - | NPPES |
I12852 | Other | IA | MEDICARE-PTAN |
0442764 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |