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700 Davis Ave Corning IA 50841-1419 | |
(641) 322-4431 | |
(641) 322-5052 |
Full Name | |
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Speciality | Clinic/Center |
Location | 700 Davis Ave, Corning, Iowa |
Authorized Official Name and Position | Matthew L Mccutchan (CFO) |
Authorized Official Contact | 6417823899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1700 W Townline St Creston IA 50801-1054 Ph: (641) 782-7091 | 700 Davis Ave Corning IA 50841-1419 Ph: (641) 322-4431 |
NPI Number | 1275048977 |
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Provider Enumeration Date | 12/05/2017 |
Last Update Date | 02/25/2020 |
Medicare PECOS PAC ID | 9234041013 |
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Medicare Enrollment ID | O20190226000149 |
Identifier | Type | State | Issuer |
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1275048977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |