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513 S Muckey St Mapleton IA 51034-1055 | |
(712) 882-2234 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 513 S Muckey St, Mapleton, Iowa |
Authorized Official Name and Position | Lynn R Wold (CEO) |
Authorized Official Contact | 7124232311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1600 Diamond St Onawa IA 51040-1548 Ph: (712) 423-2311 | 513 S Muckey St Mapleton IA 51034-1055 Ph: (712) 882-2234 |
NPI Number | 1588991962 |
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Provider Enumeration Date | 11/05/2009 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 0143131516 |
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Medicare Enrollment ID | O20100216001023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588991962 | NPI | - | NPPES |
0680002 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |