Peoples Community Health Clinic, Inc | |
118 S Main St Clarksville IA 50619-2008 | |
(319) 278-9020 | |
Not Available |
Full Name | Peoples Community Health Clinic, Inc |
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Speciality | Clinic/Center |
Location | 118 S Main St, Clarksville, Iowa |
Authorized Official Name and Position | Christine Kemp (CEO) |
Authorized Official Contact | 3198743000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peoples Community Health Clinic, Inc 905 Franklin St Waterloo IA 50703-4407 Ph: () - | Peoples Community Health Clinic, Inc 118 S Main St Clarksville IA 50619-2008 Ph: (319) 278-9020 |
NPI Number | 1194969238 |
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Provider Enumeration Date | 04/20/2009 |
Last Update Date | 10/02/2018 |
Medicare PECOS PAC ID | 6406746668 |
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Medicare Enrollment ID | O20090305000757 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194969238 | NPI | - | NPPES |
0076372 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Peoples Community Health Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 N Mather St, Clarksville, IA 50619 Phone: 319-278-4273 |