Mechanicsville Family Medicine | |
202 E 1st St Mechanicsville IA 52306-7701 | |
(563) 432-7215 | |
(563) 432-7758 |
Full Name | Mechanicsville Family Medicine |
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Speciality | Clinic/center - Rural Health |
Location | 202 E 1st St, Mechanicsville, Iowa |
Authorized Official Name and Position | Erick J Laine (COO) |
Authorized Official Contact | 5154719227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mechanicsville Family Medicine 8101 Birchwood Court Suite R Johnston IA 50131-2930 Ph: (515) 471-9243 | Mechanicsville Family Medicine 202 E 1st St Mechanicsville IA 52306-7701 Ph: (563) 432-7215 |
NPI Number | 1912934969 |
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Provider Enumeration Date | 06/26/2006 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912934969 | NPI | - | NPPES |
0689109 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |