| Family Practice Clinic-west Bend | |
|
107 Division St West Bend IA 50597-0000 | |
| (515) 887-7891 | |
| (515) 887-7893 |
| Full Name | Family Practice Clinic-west Bend |
|---|---|
| Speciality | Family Medicine |
| Location | 107 Division St, West Bend, Iowa |
| Authorized Official Name and Position | Desiree A Einsweiler (CEO) |
| Authorized Official Contact | 7128525401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Clinic-west Bend 3201 1st St Emmetsburg IA 50536-2516 Ph: (712) 852-5500 | Family Practice Clinic-west Bend 107 Division St West Bend IA 50597-0000 Ph: (515) 887-7891 |
| NPI Number | 1164434080 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164434080 | NPI | - | NPPES |
| 0257287 | Medicaid | IA | |
| 48687 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Practice Clinic-west Bend Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 W Division St, West Bend, IA 50597 Phone: 515-887-7891 |