| |
621 S Illinois Ave Suite 100 Mason City IA 50401-5489 | |
(641) 428-6900 | |
(641) 428-6909 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 621 S Illinois Ave, Mason City, Iowa |
Authorized Official Name and Position | Mark C Trammel (VP FINANCE) |
Authorized Official Contact | 6414287984 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1000 4th St Sw Mason City IA 50401-2800 Ph: () - | 621 S Illinois Ave Suite 100 Mason City IA 50401-5489 Ph: (641) 428-6900 |
NPI Number | 1922118918 |
---|---|
Provider Enumeration Date | 08/30/2006 |
Last Update Date | 10/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922118918 | NPI | - | NPPES |
0183715 | Medicaid | IA | |
47681 | Other | IA | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Iowa Scoliosis Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 4th St Sw Ste A, Mason City, IA 50401 Phone: 641-423-0257 Fax: 641-424-0200 | |
Francis Lauer Youth Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Eisenhower Ave, Mason City, IA 50401 Phone: 641-421-8411 Fax: 641-421-8410 | |