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1100 N 4th St Ste 143 Fairfield IA 52556-2169 | |
(641) 472-1270 | |
(641) 472-1285 |
Full Name | |
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Speciality | Clinic/center |
Location | 1100 N 4th St Ste 143, Fairfield, Iowa |
Authorized Official Name and Position | Jawahar Sundaram (MEDICAL DIRECTOR) |
Authorized Official Contact | 6414721270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1100 N 4th St Ste 143 Fairfield IA 52556-2169 Ph: (641) 472-1270 | 1100 N 4th St Ste 143 Fairfield IA 52556-2169 Ph: (641) 472-1270 |
NPI Number | 1366135162 |
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Provider Enumeration Date | 05/30/2023 |
Last Update Date | 12/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366135162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | 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 |