| |
101 N Akir St Latimer IA 50452-7598 | |
(641) 579-6340 | |
(641) 579-6347 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 101 N Akir St, Latimer, Iowa |
Authorized Official Name and Position | Kim Price (CEO) |
Authorized Official Contact | 6414565005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1720 Central Ave E Hampton IA 50441-1859 Ph: (641) 456-5000 | 101 N Akir St Latimer IA 50452-7598 Ph: (641) 579-6340 |
NPI Number | 1053492579 |
---|---|
Provider Enumeration Date | 10/18/2006 |
Last Update Date | 08/04/2023 |
Medicare PECOS PAC ID | 5799693925 |
---|---|
Medicare Enrollment ID | O20060110000791 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053492579 | NPI | - | NPPES |
0634832 | Medicaid | IA | |
I8904 | Other | IA | WELLMARK RHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |