| Clarks Medical Services Llc | |
|
1946 42nd St Ne Cedar Rapids IA 52402-3041 | |
| (319) 200-4266 | |
| Not Available |
| Full Name | Clarks Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1946 42nd St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Craig Clark (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3192004266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarks Medical Services Llc 1946 42nd St Ne Cedar Rapids IA 52402-3041 Ph: () - | Clarks Medical Services Llc 1946 42nd St Ne Cedar Rapids IA 52402-3041 Ph: (319) 200-4266 |
| NPI Number | 1225806888 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 2163964537 |
|---|---|
| Medicare Enrollment ID | O20240613000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225806888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tammy A Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184703571 PECOS PAC ID: 3971403866 Enrollment ID: I20100302000679 |
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