Greene County Family Medicine | |
1000 W Lincoln Way Ste 100 & 101 Jefferson IA 50129-1645 | |
(515) 386-2114 | |
(515) 386-3695 |
Full Name | Greene County Family Medicine |
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Speciality | Clinic/Center |
Location | 1000 W Lincoln Way Ste 100 & 101, Jefferson, Iowa |
Authorized Official Name and Position | Chad H Butterfield (CEO) |
Authorized Official Contact | 5153862114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Greene County Family Medicine 1000 W Lincoln Way Jefferson IA 50129-1645 Ph: (515) 386-2114 | Greene County Family Medicine 1000 W Lincoln Way Ste 100 & 101 Jefferson IA 50129-1645 Ph: (515) 386-2114 |
NPI Number | 1457825192 |
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Provider Enumeration Date | 01/16/2019 |
Last Update Date | 06/27/2022 |
Medicare PECOS PAC ID | 0143208595 |
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Medicare Enrollment ID | O20190318000040 |
Identifier | Type | State | Issuer |
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1457825192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |