| |
322 1/2 College Ave Iowa Falls IA 50126-2106 | |
(641) 648-3202 | |
(641) 648-3203 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 322 1/2 College Ave, Iowa Falls, Iowa |
Authorized Official Name and Position | Douglas Eugene Morse (CEO) |
Authorized Official Contact | 6416487010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
322 1/2 College Ave Iowa Falls IA 50126-2106 Ph: (641) 648-3202 | 322 1/2 College Ave Iowa Falls IA 50126-2106 Ph: (641) 648-3202 |
NPI Number | 1588840466 |
---|---|
Provider Enumeration Date | 01/10/2008 |
Last Update Date | 12/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588840466 | NPI | - | NPPES |
I15574 | Other | IA | MEDICARE GROUP |
I15576 | Other | IA | MEDICARE |
1129163 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 18633 (Iowa) | Primary |
363LF0000X | Nurse Practitioner - Family | A1221491 (Iowa) | Secondary |
Your Time Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Washington Ave, Iowa Falls, IA 50126 Phone: 641-316-1112 Fax: 641-206-0429 | |