| Prairie City Family Clinic | |
|
100 E Jefferson St. Prairie City IA 50228 | |
| (515) 994-2617 | |
| (515) 994-2365 |
| Full Name | Prairie City Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 100 E Jefferson St., Prairie City, Iowa |
| Authorized Official Name and Position | Gregory Lee Ingle (PRESIDENT) |
| Authorized Official Contact | 5159942617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie City Family Clinic Po Box 430 Prairie City IA 50228-0430 Ph: (515) 994-2617 | Prairie City Family Clinic 100 E Jefferson St. Prairie City IA 50228 Ph: (515) 994-2617 |
| NPI Number | 1124015037 |
|---|---|
| Provider Enumeration Date | 10/05/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124015037 | NPI | - | NPPES |
| 0283655 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Prairie City Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 East 2nd Street, Prairie City, IA 50228 Phone: 515-994-2617 Fax: 515-994-2365 |