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123 Broad St Humeston IA 50123-7736 | |
(641) 877-8502 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 123 Broad St, Humeston, Iowa |
Authorized Official Name and Position | Brian S Sims (CEO) |
Authorized Official Contact | 6417743000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 N 7th St Chariton IA 50049-1210 Ph: (641) 774-3000 | 123 Broad St Humeston IA 50123-7736 Ph: (641) 877-8502 |
NPI Number | 1902834716 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 11/02/2015 |
Identifier | Type | State | Issuer |
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1902834716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Iowa) | Primary |