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109 W Robbins St Graettinger IA 51342-7732 | |
(712) 859-3131 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 109 W Robbins St, Graettinger, Iowa |
Authorized Official Name and Position | Desiree A Einsweiler (CEO) |
Authorized Official Contact | 7128525401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3201 1st St Emmetsburg IA 50536-2516 Ph: (712) 852-5500 | 109 W Robbins St Graettinger IA 51342-7732 Ph: (712) 859-3131 |
NPI Number | 1811063795 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 12/03/2020 |
Medicare PECOS PAC ID | 4486563061 |
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Medicare Enrollment ID | O20090605000594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811063795 | NPI | - | NPPES |
0634725 | Medicaid | IA | |
36472 | Other | IA | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |