Earlham Medical Clinic | |
125 W 1st St Earlham IA 50072-7705 | |
(515) 758-2907 | |
(515) 758-2892 |
Full Name | Earlham Medical Clinic |
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Speciality | Clinic/Center |
Location | 125 W 1st St, Earlham, Iowa |
Authorized Official Name and Position | Marcia L. Hendricks (CEO) |
Authorized Official Contact | 5154622373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Earlham Medical Clinic 300 W Hutchings St Winterset IA 50273-2104 Ph: (515) 462-2373 | Earlham Medical Clinic 125 W 1st St Earlham IA 50072-7705 Ph: (515) 758-2907 |
NPI Number | 1497810097 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 08/22/2016 |
Medicare PECOS PAC ID | 6002727179 |
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Medicare Enrollment ID | O20030919000024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497810097 | NPI | - | NPPES |
0634931 | Medicaid | IA | |
63486 | Other | IA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Earlham Family Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 W 1st Street, Earlham, IA 50072 Phone: 515-805-7619 |