| |
920 N Quincy Ave Ottumwa IA 52501-3866 | |
(641) 455-5200 | |
(641) 455-5150 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 920 N Quincy Ave, Ottumwa, Iowa |
Authorized Official Name and Position | Robert D. Kroese (CEO) |
Authorized Official Contact | 6416286604 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
920 N Quincy Ave Ottumwa IA 52501-3866 Ph: (641) 455-5200 | 920 N Quincy Ave Ottumwa IA 52501-3866 Ph: (641) 455-5200 |
NPI Number | 1508101221 |
---|---|
Provider Enumeration Date | 12/06/2012 |
Last Update Date | 12/06/2022 |
Medicare PECOS PAC ID | 9931005873 |
---|---|
Medicare Enrollment ID | O20140917001382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508101221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 630165H (Iowa) | 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 |