Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 301 East Street, Shelby, Iowa |
Authorized Official Name and Position | Mark Woodring (CEO) |
Authorized Official Contact | 7127554316 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1213 Garfield Ave Harlan IA 51537-2057 Ph: (712) 755-5161 | 301 East Street Shelby IA 51570 Ph: (712) 544-2511 |
NPI Number | 1689759169 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 09/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689759169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |