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109 Woodbridge St Nashua IA 50658-7775 | |
(641) 435-4181 | |
(641) 435-2458 |
Full Name | |
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Speciality | Family Medicine |
Location | 109 Woodbridge St, Nashua, Iowa |
Authorized Official Name and Position | Dawnett Willis (CEO) |
Authorized Official Contact | 6412286830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 11th St Charles City IA 50616-3499 Ph: (641) 228-6830 | 109 Woodbridge St Nashua IA 50658-7775 Ph: (641) 435-4181 |
NPI Number | 1922078070 |
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Provider Enumeration Date | 01/23/2006 |
Last Update Date | 10/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922078070 | NPI | - | NPPES |
0283093 | Medicaid | IA | |
28309 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 340138H (Iowa) | Primary |