| Grundy Center Family Medicine | |
|
101 E J Ave Ste 120 Grundy Center IA 50638-2006 | |
| (319) 824-6945 | |
| (319) 824-6947 |
| Full Name | Grundy Center Family Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 101 E J Ave, Grundy Center, Iowa |
| Authorized Official Name and Position | Erick J Laine (COO) |
| Authorized Official Contact | 5154719227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grundy Center Family Medicine 8101 Birchwood Court Suite R Johnston IA 50131-2930 Ph: (515) 471-9243 | Grundy Center Family Medicine 101 E J Ave Ste 120 Grundy Center IA 50638-2006 Ph: (319) 824-6945 |
| NPI Number | 1013952183 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013952183 | NPI | - | NPPES |
| 0689539 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Unitypoint Clinic - Family Medicine - Grundy Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E J Ave Ste 120, Grundy Center, IA 50638 Phone: 319-824-6945 | |
Charles J Latendresse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 G Ave, Grundy Center, IA 50638 Phone: 319-824-3181 Fax: 319-824-6680 |