| |
101 Franklin St Monona IA 52159-8092 | |
(563) 245-7000 | |
(563) 245-7080 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 101 Franklin St, Monona, Iowa |
Authorized Official Name and Position | Brooke Kensinger (PRESIDENT) |
Authorized Official Contact | 5632457085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
901 Davidson St Nw Elkader IA 52043-9015 Ph: (563) 245-7000 | 101 Franklin St Monona IA 52159-8092 Ph: (563) 245-7000 |
NPI Number | 1679158737 |
---|---|
Provider Enumeration Date | 03/10/2021 |
Last Update Date | 04/08/2024 |
Medicare PECOS PAC ID | 1052206372 |
---|---|
Medicare Enrollment ID | O20210405000818 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679158737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |