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7555 Hickman Rd Urbandale IA 50322-4620 | |
(515) 225-7201 | |
(515) 225-9213 |
Full Name | |
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Speciality | Clinic/Center |
Location | 7555 Hickman Rd, Urbandale, 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 |
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1200 University Ave Ste 200 Des Moines IA 50314-2355 Ph: (515) 248-1447 | 7555 Hickman Rd Urbandale IA 50322-4620 Ph: (515) 225-7201 |
NPI Number | 1396270831 |
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Provider Enumeration Date | 04/21/2017 |
Last Update Date | 06/11/2020 |
Medicare PECOS PAC ID | 8426966755 |
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Medicare Enrollment ID | O20170509001463 |
Identifier | Type | State | Issuer |
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1396270831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Casady Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3821 71st St Ste B, Urbandale, IA 50322 Phone: 515-226-7888 Fax: 515-237-3979 | |
Access Foot Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7517 Douglas Ave, Suite #15, Urbandale, IA 50322 Phone: 515-252-1550 Fax: 515-252-8886 |