| Long Term Care Services Pc | |
|
5927 Highland Cir West Des Moines IA 50266-2825 | |
| (515) 327-2089 | |
| (515) 440-4599 |
| Full Name | Long Term Care Services Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 5927 Highland Cir, West Des Moines, Iowa |
| Authorized Official Name and Position | Roy W. Overton (PHYSICIAN / PRESIDENT) |
| Authorized Official Contact | 5153272089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Term Care Services Pc 2213 Grand Ave Des Moines IA 50312-5305 Ph: (515) 237-3974 | Long Term Care Services Pc 5927 Highland Cir West Des Moines IA 50266-2825 Ph: (515) 327-2089 |
| NPI Number | 1518214204 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 08/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518214204 | NPI | - | NPPES |
| IN PROCESS | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 02075 (Iowa) | Primary |
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