Adair County Medical Clinic Fontanelle | |
406 5th St Fontanelle IA 50846-8308 | |
(641) 745-4300 | |
(641) 743-4034 |
Full Name | Adair County Medical Clinic Fontanelle |
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Speciality | Clinic/center - Rural Health |
Location | 406 5th St, Fontanelle, Iowa |
Authorized Official Name and Position | Marcia L Hendricks (CEO) |
Authorized Official Contact | 6417437234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adair County Medical Clinic Fontanelle 609 Se Kent St Greenfield IA 50849-9494 Ph: (641) 743-2123 | Adair County Medical Clinic Fontanelle 406 5th St Fontanelle IA 50846-8308 Ph: (641) 745-4300 |
NPI Number | 1710926506 |
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Provider Enumeration Date | 06/06/2006 |
Last Update Date | 09/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710926506 | NPI | - | NPPES |
33844 | Other | IA | BLUE CROSS |
0685016 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |