| Avera Spirit Lake Medical Center | |
|
2700 23rd Street Spirit Lake IA 51360 | |
| (712) 336-2410 | |
| (712) 336-3241 |
| Full Name | Avera Spirit Lake Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 2700 23rd Street, Spirit Lake, Iowa |
| Authorized Official Name and Position | Julie N Norton (CFO) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Spirit Lake Medical Center 2700 23rd Street Spirit Lake IA 51360 Ph: (712) 336-2410 | Avera Spirit Lake Medical Center 2700 23rd Street Spirit Lake IA 51360 Ph: (712) 336-2410 |
| NPI Number | 1922196856 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 05/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922196856 | NPI | - | NPPES |
| 146241 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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