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512 3rd St Ne Hartley IA 51346-1204 | |
(712) 728-2702 | |
(712) 728-2138 |
Full Name | |
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Speciality | Family Medicine |
Location | 512 3rd St Ne, Hartley, Iowa |
Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | 512 3rd St Ne Hartley IA 51346-1204 Ph: (712) 728-2702 |
NPI Number | 1821270679 |
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Provider Enumeration Date | 12/04/2007 |
Last Update Date | 11/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821270679 | NPI | - | NPPES |
0638593 | Other | IA | IOWA MEDIPASS |
0254656 | Other | IA | IOWA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |