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112 N Kiel St Holstein IA 51025-7717 | |
(712) 368-4730 | |
(712) 376-4709 |
Full Name | |
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Speciality | Clinic/Center |
Location | 112 N Kiel St, Holstein, Iowa |
Authorized Official Name and Position | Joan M Bierman (CFO) |
Authorized Official Contact | 7122251505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 Sioux Valley Dr Cherokee IA 51012-1205 Ph: (712) 225-6265 | 112 N Kiel St Holstein IA 51025-7717 Ph: (712) 368-4730 |
NPI Number | 1174529283 |
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Provider Enumeration Date | 06/23/2005 |
Last Update Date | 10/09/2015 |
Medicare PECOS PAC ID | 4880501881 |
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Medicare Enrollment ID | O20090512000375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174529283 | NPI | - | NPPES |
0634410 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |