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115 N Main Suite Rh Buffalo Center IA 50424-0000 | |
(641) 562-2424 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 115 N Main, Buffalo Center, Iowa |
Authorized Official Name and Position | Mark Trammel (ASSISTANT TREASURER) |
Authorized Official Contact | 6414287984 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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621 S Illinois Ave Suite 103 Mason City IA 50401-5489 Ph: (641) 494-3041 | 115 N Main Suite Rh Buffalo Center IA 50424-0000 Ph: (641) 562-2424 |
NPI Number | 1174699656 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 07/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174699656 | NPI | - | NPPES |
68948 | Other | IA | WELLMARK |
0634741 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |