Prairie City Medical Clinic | |
404 East 2nd Street Prairie City IA 50228-8829 | |
(515) 994-2617 | |
(515) 994-2365 |
Full Name | Prairie City Medical Clinic |
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Speciality | Clinic/Center |
Location | 404 East 2nd Street, Prairie City, 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 |
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Prairie City Medical Clinic 404 East 2nd Street Prairie City IA 50228-8829 Ph: (515) 994-2617 | Prairie City Medical Clinic 404 East 2nd Street Prairie City IA 50228-8829 Ph: (515) 994-2617 |
NPI Number | 1497413637 |
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Provider Enumeration Date | 12/06/2021 |
Last Update Date | 12/06/2022 |
Medicare PECOS PAC ID | 9931005873 |
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Medicare Enrollment ID | O20211216000222 |
Identifier | Type | State | Issuer |
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1497413637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Prairie City Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Jefferson St., Prairie City, IA 50228 Phone: 515-994-2617 Fax: 515-994-2365 |