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1504 N Lincoln St Knoxville IA 50138-3427 | |
(641) 828-6208 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1504 N Lincoln St, Knoxville, Iowa |
Authorized Official Name and Position | Samantha Cannon (CEO) |
Authorized Official Contact | 6414462383 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 | 1504 N Lincoln St Knoxville IA 50138-3427 Ph: (641) 828-6208 |
NPI Number | 1790364875 |
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Provider Enumeration Date | 04/06/2021 |
Last Update Date | 02/11/2022 |
Medicare PECOS PAC ID | 5597717496 |
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Medicare Enrollment ID | O20210429001525 |
Identifier | Type | State | Issuer |
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1790364875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Planned Parenthood Of The Heartland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 W Pleasant Street, Knoxville, IA 50138 Phone: 866-290-4325 Fax: 515-280-9525 | |