Bchc Family Medicine - Jesup | |
211 South Street West Jesup IA 50648 | |
(319) 332-0999 | |
Not Available |
Full Name | Bchc Family Medicine - Jesup |
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Speciality | Clinic/Center |
Location | 211 South Street West, Jesup, Iowa |
Authorized Official Name and Position | Wade E Weis (CEO) |
Authorized Official Contact | 3193320999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bchc Family Medicine - Jesup 1600 1st St E Independence IA 50644-3155 Ph: (319) 332-0999 | Bchc Family Medicine - Jesup 211 South Street West Jesup IA 50648 Ph: (319) 332-0999 |
NPI Number | 1386201333 |
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Provider Enumeration Date | 05/24/2019 |
Last Update Date | 03/14/2022 |
Medicare PECOS PAC ID | 9931010790 |
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Medicare Enrollment ID | O20200218002513 |
Identifier | Type | State | Issuer |
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1386201333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |