Mercycare Tama | |
402 Siegel St Tama IA 52339-2302 | |
(641) 484-3333 | |
(319) 369-4677 |
Full Name | Mercycare Tama |
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Speciality | Clinic/Center |
Location | 402 Siegel St, Tama, Iowa |
Authorized Official Name and Position | Annette J Stanton (SR DIRECTOR) |
Authorized Official Contact | 3193694512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercycare Tama Po Box 1824 Cedar Rapids IA 52406 Ph: (319) 369-4505 | Mercycare Tama 402 Siegel St Tama IA 52339-2302 Ph: (641) 484-3333 |
NPI Number | 1154490779 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 04/04/2011 |
Medicare PECOS PAC ID | 1355242496 |
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Medicare Enrollment ID | O20040427000316 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154490779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sac & Fox Of The Miss In Iowa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1646 305th Street, Ste A, Tama, IA 52339 Phone: 641-484-4094 Fax: 641-484-2432 |