| |
4005 Nw Urbandale Drive Urbandale IA 50322-7914 | |
(515) 643-9200 | |
(515) 643-9247 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 4005 Nw Urbandale Drive, Urbandale, Iowa |
Authorized Official Name and Position | Sharon Phillips (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 5156437238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-4374 | 4005 Nw Urbandale Drive Urbandale IA 50322-7914 Ph: (515) 643-9200 |
NPI Number | 1083636815 |
---|---|
Provider Enumeration Date | 07/24/2006 |
Last Update Date | 08/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083636815 | NPI | - | NPPES |
CD3776 | Other | IA | RAILROAD MEDICARE |
0262725 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Casady Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3821 71st St Ste B, Urbandale, IA 50322 Phone: 515-226-7888 Fax: 515-237-3979 | |
Access Foot Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7517 Douglas Ave, Suite #15, Urbandale, IA 50322 Phone: 515-252-1550 Fax: 515-252-8886 |