Red Haw Family Medical Center, Pc | |
1030 N 7th St Chariton IA 50049-1206 | |
(641) 217-9115 | |
(641) 217-9137 |
Full Name | Red Haw Family Medical Center, Pc |
---|---|
Speciality | Family Medicine |
Location | 1030 N 7th St, Chariton, Iowa |
Authorized Official Name and Position | Philip Dewain Sundquist (FAMILY PRACTICE/OBGYN) |
Authorized Official Contact | 6412179115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Red Haw Family Medical Center, Pc 1030 N 7th St Po Box 674 Chariton IA 50049-1206 Ph: (641) 217-9115 | Red Haw Family Medical Center, Pc 1030 N 7th St Chariton IA 50049-1206 Ph: (641) 217-9115 |
NPI Number | 1942516471 |
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Provider Enumeration Date | 08/21/2010 |
Last Update Date | 12/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942516471 | NPI | - | NPPES |
0103836 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37367 (Iowa) | Primary |
207V00000X | Obstetrics & Gynecology | 37367 (Iowa) | Secondary |
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