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220 Mulberry St Ste A Wapello IA 52653-1570 | |
(888) 377-7791 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 220 Mulberry St Ste A, Wapello, Iowa |
Authorized Official Name and Position | Teresa Lynn Colgan (CEO) |
Authorized Official Contact | 3193856560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1221 S Gear Ave Attn: Legal Services West Burlington IA 52655-1679 Ph: () - | 220 Mulberry St Ste A Wapello IA 52653-1570 Ph: (888) 377-7791 |
NPI Number | 1376230326 |
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Provider Enumeration Date | 04/20/2023 |
Last Update Date | 11/04/2024 |
Medicare PECOS PAC ID | 9638570740 |
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Medicare Enrollment ID | O20241019000280 |
Identifier | Type | State | Issuer |
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1376230326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |