Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 401 1st Ave, Toledo, Iowa |
Authorized Official Name and Position | Terry J Protextor (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3193377642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
401 1st Ave Toledo IA 52342-2129 Ph: (641) 484-2602 | 401 1st Ave Toledo IA 52342-2129 Ph: (641) 484-2602 |
NPI Number | 1295814234 |
---|---|
Provider Enumeration Date | 11/02/2006 |
Last Update Date | 02/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295814234 | NPI | - | NPPES |
0689224 | Other | IA | RHC MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |