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111 S 5th St Mapleton IA 51034-1201 | |
(712) 882-2234 | |
(712) 882-2605 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 111 S 5th St, Mapleton, Iowa |
Authorized Official Name and Position | Brian Monsma (EXECUTIVE NETWORK DIRECTOR) |
Authorized Official Contact | 7122792925 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | 111 S 5th St Mapleton IA 51034-1201 Ph: (712) 882-2234 |
NPI Number | 1801834064 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 09/27/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801834064 | NPI | - | NPPES |
0689356 | Medicaid | IA |