| |
801 5th St Suite 201 Sioux City IA 51101-1326 | |
(712) 279-2400 | |
(712) 279-5883 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 801 5th St, Sioux City, Iowa |
Authorized Official Name and Position | Thomas Clark (PRESIDENT) |
Authorized Official Contact | 7122792018 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 328 Sioux City IA 51102-0328 Ph: (712) 279-5830 | 801 5th St Suite 201 Sioux City IA 51101-1326 Ph: (712) 279-2400 |
NPI Number | 1184891970 |
---|---|
Provider Enumeration Date | 05/12/2008 |
Last Update Date | 12/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184891970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Longevity Clinical Ltc Associates Of Iowa, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 W 19th St, Sioux City, IA 51103 Phone: 561-815-2427 | |
Affordable Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-258-4350 | |
James L. Hartje M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2730 Pierce St, Suite 403, Sioux City, IA 51104 Phone: 712-255-5835 Fax: 712-234-1140 | |