| Primary Health Care-marshalltown Dental Clinic | |
|
101 Iowa Ave W Ste 102 Marshalltown IA 50158-4768 | |
| (641) 753-4021 | |
| (641) 753-4025 |
| Full Name | Primary Health Care-marshalltown Dental Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Iowa Ave W, Marshalltown, Iowa |
| Authorized Official Name and Position | Kelly Huntsman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5152481441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care-marshalltown Dental Clinic 1200 University Ave Suite 200 Des Moines IA 50314-2355 Ph: (515) 248-1447 | Primary Health Care-marshalltown Dental Clinic 101 Iowa Ave W Ste 102 Marshalltown IA 50158-4768 Ph: (641) 753-4021 |
| NPI Number | 1003293317 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 8426966755 |
|---|---|
| Medicare Enrollment ID | O20150610002679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003293317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 May St, Marshalltown, IA 50158 Phone: 641-752-4376 Fax: 641-752-2642 | |
Mid-iowa Community Action, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S 18th Ave, Marshalltown, IA 50158 Phone: 641-752-7162 Fax: 641-754-1007 | |
Iowa Veterans Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Summit St, Marshalltown, IA 50158 Phone: 641-753-4518 Fax: 641-753-4203 | |
Iowa Veterans Home State Of Iowa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Summit St, Marshalltown, IA 50158 Phone: 641-752-1501 | |
Mid-iowa Community Action, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S 18th Ave, Marshalltown, IA 50158 Phone: 641-752-7162 | |
Marshalltown Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 E Church St, Marshalltown, IA 50158 Phone: 641-754-5145 |