| Exira Family Medicine Clinic, Llc | |
|
107 S Jefferson St Exira IA 50076-7726 | |
| (712) 268-5348 | |
| (712) 268-2145 |
| Full Name | Exira Family Medicine Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 107 S Jefferson St, Exira, Iowa |
| Authorized Official Name and Position | Dana C Shaffer (OWNER) |
| Authorized Official Contact | 7122685348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exira Family Medicine Clinic, Llc 107 S Jefferson St Po Box 87 Exira IA 50076-7726 Ph: (712) 268-5348 | Exira Family Medicine Clinic, Llc 107 S Jefferson St Exira IA 50076-7726 Ph: (712) 268-5348 |
| NPI Number | 1538364310 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538364310 | NPI | - | NPPES |
| 0455311 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02167 (Iowa) | Primary |
Exira Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Jefferson St, Exira, IA 50076 Phone: 712-268-5348 Fax: 712-268-2145 | |
Audubon County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 S Jefferson St, Exira, IA 50076 Phone: 712-268-5348 Fax: 712-268-2145 |