Shell Rock Clinic | |
1001 Mason Way Shell Rock IA 50670-1007 | |
(319) 885-6530 | |
(319) 885-6535 |
Full Name | Shell Rock Clinic |
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Speciality | Clinic/Center |
Location | 1001 Mason Way, Shell Rock, Iowa |
Authorized Official Name and Position | Jodi M Geerts (CEO) |
Authorized Official Contact | 3193524120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shell Rock Clinic 312 9th St Sw Waverly IA 50677-2929 Ph: (319) 352-4120 | Shell Rock Clinic 1001 Mason Way Shell Rock IA 50670-1007 Ph: (319) 885-6530 |
NPI Number | 1871860569 |
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Provider Enumeration Date | 11/23/2011 |
Last Update Date | 06/05/2024 |
Medicare PECOS PAC ID | 8820996762 |
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Medicare Enrollment ID | O20120117000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871860569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Iowa) | Primary |
Shell Rock Family Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 North Cherry St, Shell Rock, IA 50670 Phone: 319-885-6530 Fax: 319-885-6535 |