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201 S Market St Ottumwa IA 52501-2924 | |
(641) 684-6896 | |
(641) 226-5759 |
Full Name | |
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Speciality | Clinic/Center |
Location | 201 S Market St, Ottumwa, Iowa |
Authorized Official Name and Position | Kim Grove (BILLING MANAGER) |
Authorized Official Contact | 6416846896 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 W Kelley St Sigourney IA 52591-1100 Ph: (641) 224-8061 | 201 S Market St Ottumwa IA 52501-2924 Ph: (641) 684-6896 |
NPI Number | 1245775832 |
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Provider Enumeration Date | 01/05/2017 |
Last Update Date | 08/06/2020 |
Medicare PECOS PAC ID | 8426076225 |
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Medicare Enrollment ID | O20170419000113 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245775832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ottumwa Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Pennsylvania Ave, Ste 204, Ottumwa, IA 52501 Phone: 641-682-8761 | |
River Hills Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 S Market St, Ottumwa, IA 52501 Phone: 641-683-5773 Fax: 641-226-5759 | |
Ottumwa Health Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-7511 Fax: 641-684-3199 |