Active Health Clinics | |
20 N 29th St Fort Dodge IA 50501-2990 | |
(515) 227-7491 | |
Not Available |
Full Name | Active Health Clinics |
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Speciality | General Practice |
Location | 20 N 29th St, Fort Dodge, Iowa |
Authorized Official Name and Position | Joshua Joe Mason (OWNER) |
Authorized Official Contact | 5152277491 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Active Health Clinics 20 N 29th St Fort Dodge IA 50501-2990 Ph: (515) 227-7491 | Active Health Clinics 20 N 29th St Fort Dodge IA 50501-2990 Ph: (515) 227-7491 |
NPI Number | 1215582333 |
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Provider Enumeration Date | 08/06/2019 |
Last Update Date | 08/06/2019 |
Medicare PECOS PAC ID | 8729310016 |
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Medicare Enrollment ID | O20191106002452 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215582333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Joshua J Mason |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1598724130 PECOS PAC ID: 8628080702 Enrollment ID: I20060609000068 |
Provider Name | Jana Maria Hacker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619202868 PECOS PAC ID: 1557403946 Enrollment ID: I20100122000696 |
Provider Name | Zachary M Mason |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689962615 PECOS PAC ID: 9335318088 Enrollment ID: I20110815000129 |
Provider Name | Erika A Hout |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134631195 PECOS PAC ID: 3779842851 Enrollment ID: I20180118000037 |
Provider Name | Mitchell Aaron Crema |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306332556 PECOS PAC ID: 7012258890 Enrollment ID: I20190403002893 |
Provider Name | Nicholas Arthur Schiltz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336801091 PECOS PAC ID: 9537567946 Enrollment ID: I20211014001403 |
Provider Name | Steven Zakhariy Fishman |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265196729 PECOS PAC ID: 9931597580 Enrollment ID: I20211101001306 |
Provider Name | Theresa Ann Stoker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720740723 PECOS PAC ID: 1951792613 Enrollment ID: I20220106002665 |
Provider Name | Alexis Marilyn Astor |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154052850 PECOS PAC ID: 9638559404 Enrollment ID: I20220711002228 |
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