| Decatur Medical Services, Pc | |
|
802 Ackerly St Lamoni IA 50140-1544 | |
| (641) 784-3371 | |
| (641) 784-6162 |
| Full Name | Decatur Medical Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 802 Ackerly St, Lamoni, Iowa |
| Authorized Official Name and Position | Mark E Easter (VICE PRESIDENT) |
| Authorized Official Contact | 6417843371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Medical Services, Pc 802 Ackerly St Lamoni IA 50140-1544 Ph: (641) 784-3371 | Decatur Medical Services, Pc 802 Ackerly St Lamoni IA 50140-1544 Ph: (641) 784-3371 |
| NPI Number | 1104895044 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104895044 | NPI | - | NPPES |
| 0200261 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02206 (Iowa) | Primary |
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Infinity Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 Ackerly St, Lamoni, IA 50140 Phone: 641-784-7911 Fax: 641-784-6162 |