| Great River Clinic At Wapello | |
|
220 Mulberry St Wapello IA 52653-1570 | |
| (319) 768-4085 | |
| Not Available |
| Full Name | Great River Clinic At Wapello |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Mulberry St, Wapello, Iowa |
| Authorized Official Name and Position | Tony Hayes (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3197681000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Clinic At Wapello Po Box 540 West Burlington IA 52655-0540 Ph: (319) 768-3450 | Great River Clinic At Wapello 220 Mulberry St Wapello IA 52653-1570 Ph: (319) 768-4085 |
| NPI Number | 1679613723 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 02/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679613723 | NPI | - | NPPES |
| 0638494 | Medicaid | IA | |
| CH9435 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southeast Iowa Regional Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Mulberry St, Wapello, IA 52653 Phone: 319-768-4085 | |
Ui Family Care - Wapello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 N 2nd St, Wapello, IA 52653 Phone: 319-523-8205 Fax: 319-523-8840 | |
Henry County Health Center-wapello Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Mulberry St Ste A, Wapello, IA 52653 Phone: 888-377-7791 | |
Ui Family Care Wapello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 N 2nd St, Wapello, IA 52653 Phone: 319-523-8205 |