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1501 E 10th St Atlantic IA 50022-1936 | |
(712) 243-2850 | |
(712) 243-7423 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1501 E 10th St, Atlantic, Iowa |
Authorized Official Name and Position | Abbey Stangl (CFO) |
Authorized Official Contact | 7122437804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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720 Main Street Anita IA 50020-0276 Ph: (712) 762-4462 | 1501 E 10th St Atlantic IA 50022-1936 Ph: (712) 243-2850 |
NPI Number | 1649471699 |
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Provider Enumeration Date | 05/29/2007 |
Last Update Date | 01/16/2023 |
Medicare PECOS PAC ID | 5294634994 |
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Medicare Enrollment ID | O20070614000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649471699 | NPI | - | NPPES |
1649471699 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Weight Loss & Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Maple St, Atlantic, IA 50022 Phone: 712-249-4910 | |