Dewitt Family Health Clinic | |
1021 11th St De Witt IA 52742-1209 | |
(563) 659-9294 | |
(563) 659-8104 |
Full Name | Dewitt Family Health Clinic |
---|---|
Speciality | Family Medicine |
Location | 1021 11th St, De Witt, Iowa |
Authorized Official Name and Position | Thomas A Moser (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 5632432511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dewitt Family Health Clinic 915 13th Ave N Clinton IA 52732-5067 Ph: (563) 243-2511 | Dewitt Family Health Clinic 1021 11th St De Witt IA 52742-1209 Ph: (563) 659-9294 |
NPI Number | 1124072814 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 03/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124072814 | NPI | - | NPPES |
44018 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Genesis Health Group, Dewitt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 11th St, De Witt, IA 52742 Phone: 563-659-9294 Fax: 563-659-8104 | |
Genesis Health Group, Dewitt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 11th St, De Witt, IA 52742 Phone: 563-659-9137 Fax: 563-659-4438 | |
Mercyone Dewitt Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 11th St, De Witt, IA 52742 Phone: 563-659-9294 Fax: 563-659-8104 | |
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Dewitt Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1415 11th St Ste C, De Witt, IA 52742 Phone: 563-659-6090 Fax: 866-493-4063 |