Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 704 Iowa Ave, Dunlap, Iowa |
Authorized Official Name and Position | Evert Kuiper (CEO - CHI HEALTH) |
Authorized Official Contact | 4023434420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
704 Iowa Ave Dunlap IA 51529-1336 Ph: (712) 643-2298 | 704 Iowa Ave Dunlap IA 51529-1336 Ph: (712) 643-2298 |
NPI Number | 1316028020 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 02/10/2022 |
Medicare PECOS PAC ID | 3678482130 |
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Medicare Enrollment ID | O20070530000405 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316028020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |