| Medical Clinic Llc | |
|
1219 Main St Hamburg IA 51640-1300 | |
| (712) 382-2626 | |
| Not Available |
| Full Name | Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1219 Main St, Hamburg, Iowa |
| Authorized Official Name and Position | Cristin A Hendrickson (CEO) |
| Authorized Official Contact | 7123821515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Clinic Llc 1219 Main St Hamburg IA 51640-1300 Ph: (712) 382-2626 | Medical Clinic Llc 1219 Main St Hamburg IA 51640-1300 Ph: (712) 382-2626 |
| NPI Number | 1972575595 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 5395634216 |
|---|---|
| Medicare Enrollment ID | O20100910000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972575595 | NPI | - | NPPES |
| 0018507 | Medicaid | IA | |
| 01850 | Other | WELLMARK BC/BS OF IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 |