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1120 Highway 20 Correctionville IA 51016-8055 | |
(712) 372-4145 | |
(712) 372-4138 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1120 Highway 20, Correctionville, Iowa |
Authorized Official Name and Position | Jesica Hanson (VP FINANCE) |
Authorized Official Contact | 7122795850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | 1120 Highway 20 Correctionville IA 51016-8055 Ph: (712) 372-4145 |
NPI Number | 1336187277 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 10/18/2024 |
Medicare PECOS PAC ID | 5799694063 |
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Medicare Enrollment ID | O20030310000008 |
Identifier | Type | State | Issuer |
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1336187277 | NPI | - | NPPES |
0689349 | Medicaid | IA |