| Iowa Physicians Clinic Medical Foundation | |
|
1112 5th St Lacon IL 61540-1353 | |
| (309) 246-2676 | |
| Not Available |
| Full Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1112 5th St, Lacon, Illinois |
| Authorized Official Name and Position | David Williams (PRESIDENT/CEO) |
| Authorized Official Contact | 5154719200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Physicians Clinic Medical Foundation Po Box 1455 Des Moines IA 50306-1455 Ph: (515) 471-9300 | Iowa Physicians Clinic Medical Foundation 1112 5th St Lacon IL 61540-1353 Ph: (309) 246-2676 |
| NPI Number | 1497221543 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497221543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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