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705 Elm St E Rockwell IA 50469-1035 | |
(641) 372-0315 | |
(866) 610-4384 |
Full Name | |
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Speciality | Clinic/Center |
Location | 705 Elm St E, Rockwell, Iowa |
Authorized Official Name and Position | Gregory Polzin (CHIEF FINANCIAL OFFICE) |
Authorized Official Contact | 6414445623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1316 S Main St Clarion IA 50525-2019 Ph: (515) 532-2811 | 705 Elm St E Rockwell IA 50469-1035 Ph: (641) 372-0315 |
NPI Number | 1891483087 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 02/08/2024 |
Medicare PECOS PAC ID | 1052201852 |
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Medicare Enrollment ID | O20230526001648 |
Identifier | Type | State | Issuer |
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1891483087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |