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202 Wildcat Way Janesville IA 50647-1016 | |
(319) 987-2361 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 202 Wildcat Way, Janesville, Iowa |
Authorized Official Name and Position | Jodi M Geerts (CEO) |
Authorized Official Contact | 3193524120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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312 9th St Sw Waverly IA 50677-2929 Ph: (319) 352-4120 | 202 Wildcat Way Janesville IA 50647-1016 Ph: (319) 987-2361 |
NPI Number | 1184094534 |
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Provider Enumeration Date | 09/29/2015 |
Last Update Date | 06/05/2024 |
Medicare PECOS PAC ID | 8820996762 |
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Medicare Enrollment ID | O20180223001379 |
Identifier | Type | State | Issuer |
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1184094534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |