Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 409 Evans St, Sloan, 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 |
---|---|
1600 Diamond St Onawa IA 51040-1548 Ph: (712) 423-2311 | 409 Evans St Sloan IA 51055-7748 Ph: (712) 428-4100 |
NPI Number | 1013243633 |
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Provider Enumeration Date | 11/02/2009 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 0143131516 |
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Medicare Enrollment ID | O20100903000429 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013243633 | NPI | - | NPPES |
0634865 | Medicaid | IA |