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206 S 4th St Farmington IA 52626-9235 | |
(319) 878-4232 | |
(319) 878-4210 |
Full Name | |
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Speciality | Clinic/Center |
Location | 206 S 4th St, Farmington, Iowa |
Authorized Official Name and Position | Kara M. Mcentee (CFO) |
Authorized Official Contact | 3192933171 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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304 Franklin St Keosauqua IA 52565-1164 Ph: (319) 293-3171 | 206 S 4th St Farmington IA 52626-9235 Ph: (319) 878-4232 |
NPI Number | 1992875678 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 03/05/2014 |
Medicare PECOS PAC ID | 7214829530 |
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Medicare Enrollment ID | O20100308000432 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992875678 | NPI | - | NPPES |
0634527 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |