| Family Practice Clinic-west Bend | |
|
107 W Division St West Bend IA 50597-7738 | |
| (515) 887-7891 | |
| Not Available |
| Full Name | Family Practice Clinic-west Bend |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 W Division St, West Bend, Iowa |
| Authorized Official Name and Position | Desiree A Einsweiler (CEO) |
| Authorized Official Contact | 7128525500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 W Division St West Bend IA 50597-7738 Ph: (515) 887-7891 |
| NPI Number | 1962572776 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 4486563061 |
|---|---|
| Medicare Enrollment ID | O20030210000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962572776 | NPI | - | NPPES |
| 0634840 | Medicaid | IA | |
| 63417 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Practice Clinic-west Bend Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Division St, West Bend, IA 50597 Phone: 515-887-7891 Fax: 515-887-7893 |