Brooklyn Medical Clinic | |
128 Jackson Street Brooklyn IA 52211 | |
(641) 522-7221 | |
(641) 522-5816 |
Full Name | Brooklyn Medical Clinic |
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Speciality | Family Medicine |
Location | 128 Jackson Street, Brooklyn, Iowa |
Authorized Official Name and Position | Brian J Heineman (OWNER) |
Authorized Official Contact | 6415227221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brooklyn Medical Clinic Po Box 527 Brooklyn IA 52211-0527 Ph: (641) 522-7221 | Brooklyn Medical Clinic 128 Jackson Street Brooklyn IA 52211 Ph: (641) 522-7221 |
NPI Number | 1538297940 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 01/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538297940 | NPI | - | NPPES |
0415489 | Medicaid | IA | |
CJ6924 | Other | IA | RAIRLROAD MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Iowa) | Primary |