Internal Medicine Of Council Bluffs P.c. | |
25 S 15th St Suite 1 Council Bluffs IA 51501-3900 | |
(712) 323-0062 | |
(712) 323-5369 |
Full Name | Internal Medicine Of Council Bluffs P.c. |
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Speciality | Clinic/Center |
Location | 25 S 15th St, Council Bluffs, Iowa |
Authorized Official Name and Position | Ruben Altman (PRESIDENT) |
Authorized Official Contact | 7123230062 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Of Council Bluffs P.c. 25 S 15th St Suite 1 Council Bluffs IA 51501-3900 Ph: (712) 323-0062 | Internal Medicine Of Council Bluffs P.c. 25 S 15th St Suite 1 Council Bluffs IA 51501-3900 Ph: (712) 323-0062 |
NPI Number | 1295905099 |
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Provider Enumeration Date | 03/07/2008 |
Last Update Date | 03/07/2008 |
Medicare PECOS PAC ID | 1850477803 |
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Medicare Enrollment ID | O20080401000055 |
Identifier | Type | State | Issuer |
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1295905099 | NPI | - | NPPES |
0092007 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 19162 (Iowa) | Primary |
Provider Name | Ruben Altman |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1740222348 PECOS PAC ID: 4183688088 Enrollment ID: I20041118001080 |
Ridge Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Ridge St, Suite 201, Council Bluffs, IA 51503 Phone: 712-322-5899 Fax: 712-322-5730 | |
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