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2800 4th St Sw Ste 8 Mason City IA 50401-1596 | |
(641) 424-0000 | |
(641) 424-6762 |
Full Name | |
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Speciality | Family Medicine |
Location | 2800 4th St Sw Ste 8, Mason City, Iowa |
Authorized Official Name and Position | Mark Alan Mahoney (OWNER, DIRECTOR, PHYSICIAN) |
Authorized Official Contact | 6414240000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2800 4th St Sw Ste 8 Mason City IA 50401-1596 Ph: (641) 424-0000 | 2800 4th St Sw Ste 8 Mason City IA 50401-1596 Ph: (641) 424-0000 |
NPI Number | 1831540822 |
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Provider Enumeration Date | 06/30/2016 |
Last Update Date | 03/29/2017 |
Medicare PECOS PAC ID | 8820375728 |
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Medicare Enrollment ID | O20170502001449 |
Identifier | Type | State | Issuer |
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1831540822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mark A Mahoney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427028554 PECOS PAC ID: 6901855931 Enrollment ID: I20050118000325 |
Provider Name | Luke A Hachfeld |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326417577 PECOS PAC ID: 2466760228 Enrollment ID: I20150929001620 |
Provider Name | Kaci Jo Younger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306475843 PECOS PAC ID: 3476974189 Enrollment ID: I20200605000141 |
Iowa Scoliosis Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 4th St Sw Ste A, Mason City, IA 50401 Phone: 641-423-0257 Fax: 641-424-0200 | |
Francis Lauer Youth Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Eisenhower Ave, Mason City, IA 50401 Phone: 641-421-8411 Fax: 641-421-8410 | |