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2000b S Main St Fairfield IA 52556-9572 | |
| (641) 472-4156 | |
| (641) 469-4375 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000b S Main St, Fairfield, Iowa |
| Authorized Official Name and Position | Larry Peach (CFO) |
| Authorized Official Contact | 6414694304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2000 S Main St Fairfield IA 52556-9572 Ph: (641) 472-4156 | 2000b S Main St Fairfield IA 52556-9572 Ph: (641) 472-4156 |
| NPI Number | 1457728008 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 10/05/2015 |
| Medicare PECOS PAC ID | 9335059575 |
|---|---|
| Medicare Enrollment ID | O20151009000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457728008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 510063H (Iowa) | Primary |
Jchc Specialty Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Fairfield, IA 52556 Phone: 641-472-4111 Fax: 641-469-4375 | |
River Hills Community Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 S 6th St, Fairfield, IA 52556 Phone: 641-683-5773 | |
River Hills Community Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 W Fillmore Ave, Fairfield, IA 52556 Phone: 641-683-5773 | |
River Hills Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Main St, Fairfield, IA 52556 Phone: 641-683-5773 Fax: 641-226-5759 |