| Mre Family Care Clinic | |
|
404 E Bloomington St Iowa City IA 52245-2800 | |
| (319) 351-1483 | |
| (319) 351-1027 |
| Full Name | Mre Family Care Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 404 E Bloomington St, Iowa City, Iowa |
| Authorized Official Name and Position | Minyon R Rittgers-easton (OWNER/ PRACTITIONER) |
| Authorized Official Contact | 3193511483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mre Family Care Clinic 404 E Bloomington St Iowa City IA 52245-2800 Ph: (319) 351-1483 | Mre Family Care Clinic 404 E Bloomington St Iowa City IA 52245-2800 Ph: (319) 351-1483 |
| NPI Number | 1134751936 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Medicare PECOS PAC ID | 4284062332 |
|---|---|
| Medicare Enrollment ID | O20200324000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134751936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Minyon Rose Rittgers Easton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972541894 PECOS PAC ID: 3476740747 Enrollment ID: I20101213000553 |
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