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1631 4th St Sw Ste 114b Mason City IA 50401-1612 | |
(641) 428-6000 | |
(641) 428-6007 |
Full Name | |
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Speciality | Family Medicine |
Location | 1631 4th St Sw Ste 114b, 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 |
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1000 4th St Sw Mason City IA 50401-2800 Ph: (641) 428-6000 | 1631 4th St Sw Ste 114b Mason City IA 50401-1612 Ph: (641) 428-6000 |
NPI Number | 1720182439 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 10/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720182439 | NPI | - | NPPES |
0239475 | Medicaid | IA | |
18592 | 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 | |