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100 Industrial Dr Ste 101 Earling IA 51530-5213 | |
(712) 747-5700 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 100 Industrial Dr, Earling, 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 |
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1213 Garfield Ave Harlan IA 51537-2057 Ph: (712) 755-4315 | 100 Industrial Dr Ste 101 Earling IA 51530-5213 Ph: (712) 747-5700 |
NPI Number | 1417342288 |
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Provider Enumeration Date | 03/30/2015 |
Last Update Date | 03/30/2015 |
Medicare PECOS PAC ID | 5193619393 |
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Medicare Enrollment ID | O20150428000201 |
Identifier | Type | State | Issuer |
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1417342288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |