| Myrtue Medical Center - Avoca Clinic | |
|
510 N Elm St Avoca IA 51521-3521 | |
| (712) 343-6455 | |
| (712) 343-6704 |
| Full Name | Myrtue Medical Center - Avoca Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 N Elm St, Avoca, Iowa |
| Authorized Official Name and Position | Barry A. Jacobsen (CEO) |
| Authorized Official Contact | 7127554315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtue Medical Center - Avoca Clinic 1213 Garfield Ave Harlan IA 51537-2057 Ph: (712) 755-5161 | Myrtue Medical Center - Avoca Clinic 510 N Elm St Avoca IA 51521-3521 Ph: (712) 343-6455 |
| NPI Number | 1841393493 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 5193619393 |
|---|---|
| Medicare Enrollment ID | O20051004000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841393493 | NPI | - | NPPES |
| 0685156 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Marcia A Alff Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 S Elm St, Avoca, IA 51521 Phone: 712-343-6394 Fax: 712-343-5404 |