Gl Waukon Clinic | |
120 2nd Avenue Se Waukon IA 52172 | |
(608) 782-7300 | |
Not Available |
Full Name | Gl Waukon Clinic |
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Speciality | Clinic/Center |
Location | 120 2nd Avenue Se, Waukon, Iowa |
Authorized Official Name and Position | Kari B Adank (CCO) |
Authorized Official Contact | 6087758025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gl Waukon Clinic 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gl Waukon Clinic 120 2nd Avenue Se Waukon IA 52172 Ph: (608) 782-7300 |
NPI Number | 1831144302 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 08/06/2021 |
Medicare PECOS PAC ID | 9638082779 |
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Medicare Enrollment ID | O20100930000611 |
Identifier | Type | State | Issuer |
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1831144302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Vmh Medical Clinic Waukon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Main St, Waukon, IA 52172 Phone: 563-568-3411 Fax: 563-568-5699 |