| Paullina Mercy Medical Clinic | |
|
108 East Groesbeck Paullina IA 51046 | |
| (712) 949-2126 | |
| (712) 949-2129 |
| Full Name | Paullina Mercy Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 East Groesbeck, Paullina, Iowa |
| Authorized Official Name and Position | Andrew Schierholz (BOARD PRESIDENT) |
| Authorized Official Contact | 7123631075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paullina Mercy Medical Clinic Po Box 429 Paulina IA 51046-7748 Ph: (712) 949-2126 | Paullina Mercy Medical Clinic 108 East Groesbeck Paullina IA 51046 Ph: (712) 949-2126 |
| NPI Number | 1306880968 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 02/24/2020 |
| Medicare PECOS PAC ID | 0446154033 |
|---|---|
| Medicare Enrollment ID | O20041104001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306880968 | NPI | - | NPPES |
| 0634964 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Millcreek Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5616 460th St, Paullina, IA 51046 Phone: 712-448-2000 Fax: 712-448-2004 |