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518 Lincolnway St Woodbine IA 51579-1238 | |
(712) 647-2566 | |
(712) 647-2964 |
Full Name | |
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Speciality | Clinic/Center |
Location | 518 Lincolnway St, Woodbine, 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 |
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518 Lincolnway St Woodbine IA 51579-1238 Ph: (712) 647-2566 | 518 Lincolnway St Woodbine IA 51579-1238 Ph: (712) 647-2566 |
NPI Number | 1073694774 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 01/20/2022 |
Medicare PECOS PAC ID | 3678482130 |
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Medicare Enrollment ID | O20070531000454 |
Identifier | Type | State | Issuer |
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1073694774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |