| Family Practice Clinic Plc | |
|
125 School St Carlisle IA 50047-8702 | |
| (515) 989-3221 | |
| (515) 989-4518 |
| Full Name | Family Practice Clinic Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 125 School St, Carlisle, Iowa |
| Authorized Official Name and Position | Michael J Mccormick (OWNER PHYSICIAN) |
| Authorized Official Contact | 5159893221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Clinic Plc 125 School St Po Box F Carlisle IA 50047-0705 Ph: (515) 989-3221 | Family Practice Clinic Plc 125 School St Carlisle IA 50047-8702 Ph: (515) 989-3221 |
| NPI Number | 1114912813 |
|---|---|
| Provider Enumeration Date | 09/19/2005 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114912813 | NPI | - | NPPES |
| 5656790001 | Other | IA | DMERC REGION D |
| IA0100 | Other | HERITAGE | |
| 07022 | Other | IA | WELLMARK |
| 0479345 | Medicaid | IA | |
| 07022 | Other | IA | BLUE SHIELD |
| 124831 | Other | HEALTH PARTNERS | |
| DE5916 | Other | PALMETTO GBA RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mercyone Carlisle Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Gateway Dr, Carlisle, IA 50047 Phone: 515-358-7300 Fax: 515-358-7341 |