Colonies Family Medical Clinic | |
728 47th Ave Amana IA 52203-8031 | |
(319) 225-8700 | |
(319) 225-8660 |
Full Name | Colonies Family Medical Clinic |
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Speciality | Clinic/Center |
Location | 728 47th Ave, Amana, Iowa |
Authorized Official Name and Position | Barry G Goettsch (CEO) |
Authorized Official Contact | 3196428160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Colonies Family Medical Clinic 300 W May St Marengo IA 52301-1261 Ph: (319) 642-8160 | Colonies Family Medical Clinic 728 47th Ave Amana IA 52203-8031 Ph: (319) 225-8700 |
NPI Number | 1639747108 |
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Provider Enumeration Date | 06/11/2021 |
Last Update Date | 06/17/2021 |
Medicare PECOS PAC ID | 0749199446 |
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Medicare Enrollment ID | O20211020002943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639747108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Amana Family Practice Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 39th Ave, Amana, IA 52203 Phone: 319-622-3231 Fax: 319-622-3077 |