Full Name | |
---|---|
Speciality | Family Medicine |
Location | 410 Main St, Moville, Iowa |
Authorized Official Name and Position | Shanin C Mccabe-harding (CEO) |
Authorized Official Contact | 7122262600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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814 Pierce St Suite 102 Sioux City IA 51101-1058 Ph: (712) 226-2600 | 410 Main St Moville IA 51039-7715 Ph: (712) 873-5225 |
NPI Number | 1720278278 |
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Provider Enumeration Date | 07/31/2007 |
Last Update Date | 03/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720278278 | NPI | - | NPPES |
163890 | Other | IA | MEDICARE RIVERBEND GOVERN |
0263913 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Iowa) | Primary |