| Myrtue Medical Center - Harlan Clinic | |
|
1220 Chatburn Ave Harlan IA 51537-2009 | |
| (712) 755-5130 | |
| (712) 755-4470 |
| Full Name | Myrtue Medical Center - Harlan Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1220 Chatburn Ave, Harlan, 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 - Harlan Clinic 1213 Garfield Ave Harlan IA 51537-2057 Ph: (712) 755-5161 | Myrtue Medical Center - Harlan Clinic 1220 Chatburn Ave Harlan IA 51537-2009 Ph: (712) 755-5130 |
| NPI Number | 1992817886 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 5193619393 |
|---|---|
| Medicare Enrollment ID | O20050822001075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992817886 | NPI | - | NPPES |
| 1680599 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Physician Management Services Of Iowa Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Chatburn Ave, Harlan, IA 51537 Phone: 888-829-8550 | |
Myrtue Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Garfield Ave, Harlan, IA 51537 Phone: 712-755-5161 Fax: 712-755-4312 | |
Myrtue Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Garfield Ave, Harlan, IA 51537 Phone: 712-755-5161 Fax: 712-755-4312 |