| |
307 W Main St Anthon IA 51004-8199 | |
(712) 373-5711 | |
(712) 373-5239 |
Full Name | |
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Speciality | Clinic/Center |
Location | 307 W Main St, Anthon, Iowa |
Authorized Official Name and Position | Jessica Hanson (VP FINANCE) |
Authorized Official Contact | 7122795850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | 307 W Main St Anthon IA 51004-8199 Ph: (712) 373-5711 |
NPI Number | 1255379400 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 10/18/2024 |
Medicare PECOS PAC ID | 5799694063 |
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Medicare Enrollment ID | O20030318000005 |
Identifier | Type | State | Issuer |
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1255379400 | NPI | - | NPPES |
0689455 | Medicaid | IA |