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1255 Theatre Dr Ottumwa IA 52501-3772 | |
(641) 684-2551 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1255 Theatre Dr, Ottumwa, Iowa |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | 1255 Theatre Dr Ottumwa IA 52501-3772 Ph: (641) 684-2551 |
NPI Number | 1801417449 |
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Provider Enumeration Date | 05/06/2020 |
Last Update Date | 09/26/2024 |
Medicare PECOS PAC ID | 3971629924 |
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Medicare Enrollment ID | O20200612000748 |
Identifier | Type | State | Issuer |
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1801417449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ottumwa Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Pennsylvania Ave, Ste 204, Ottumwa, IA 52501 Phone: 641-682-8761 | |
River Hills Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 S Market St, Ottumwa, IA 52501 Phone: 641-683-5773 Fax: 641-226-5759 | |
Ottumwa Health Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-7511 Fax: 641-684-3199 |