| Great River Health-mediapolis | |
|
401 N Orchard St Mediapolis IA 52637 | |
| (319) 394-3177 | |
| Not Available |
| Full Name | Great River Health-mediapolis |
|---|---|
| Speciality | Family Medicine |
| Location | 401 N Orchard St, Mediapolis, Iowa |
| Authorized Official Name and Position | Tony Hayes (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3197681000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Health-mediapolis Po Box 540 West Burlington IA 52655-0540 Ph: (319) 768-3450 | Great River Health-mediapolis 401 N Orchard St Mediapolis IA 52637 Ph: (319) 394-3177 |
| NPI Number | 1053452391 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053452391 | NPI | - | NPPES |
| 0689513 | Medicaid | IA | |
| CG2275 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mediapolis Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 N Orchard St, Mediapolis, IA 52637 Phone: 319-394-3177 | |
Henry County Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Orchard St, Mediapolis, IA 52637 Phone: 319-394-3177 |