Avera Medical Group Larchwood | |
916 Holder St Larchwood IA 51241-0008 | |
(712) 477-2185 | |
(712) 477-2186 |
Full Name | Avera Medical Group Larchwood |
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Speciality | Clinic/center - Primary Care |
Location | 916 Holder St, Larchwood, Iowa |
Authorized Official Name and Position | Julie N Norton (SR VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 6053226375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avera Medical Group Larchwood Po Box 86430 Sioux Falls SD 57118-6430 Ph: (605) 322-4900 | Avera Medical Group Larchwood 916 Holder St Larchwood IA 51241-0008 Ph: (712) 477-2185 |
NPI Number | 1871527507 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 05/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871527507 | NPI | - | NPPES |
0425074 | Medicaid | IA | |
2900993 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |