Ellsworth Family Medicine-hubbard | |
324 East Maple Street Hubbard IA 50122-0487 | |
(641) 648-3202 | |
(641) 648-3203 |
Full Name | Ellsworth Family Medicine-hubbard |
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Speciality | Clinic/center - Primary Care |
Location | 324 East Maple Street, Hubbard, Iowa |
Authorized Official Name and Position | Michael White (CEO) |
Authorized Official Contact | 6416484631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ellsworth Family Medicine-hubbard 324 East Maple Street Po Box 487 Hubbard IA 50122-0487 Ph: (641) 648-3202 | Ellsworth Family Medicine-hubbard 324 East Maple Street Hubbard IA 50122-0487 Ph: (641) 648-3202 |
NPI Number | 1306029053 |
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Provider Enumeration Date | 12/17/2007 |
Last Update Date | 12/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306029053 | NPI | - | NPPES |
I15576 | Other | IA | MEDICARE |
2129163 | Medicaid | IA | |
I15574 | Other | IA | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 18633 (Iowa) | Primary |