| Shell Rock Family Health Llc | |
|
513 North Cherry St Shell Rock IA 50670 | |
| (319) 885-6530 | |
| (319) 885-6535 |
| Full Name | Shell Rock Family Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 513 North Cherry St, Shell Rock, Iowa |
| Authorized Official Name and Position | Roger L Skierka (OWNER PHYSICIAN) |
| Authorized Official Contact | 3198856530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shell Rock Family Health Llc Po Box 2400 Waterloo IA 50704-2400 Ph: (319) 233-3044 | Shell Rock Family Health Llc 513 North Cherry St Shell Rock IA 50670 Ph: (319) 885-6530 |
| NPI Number | 1477505915 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477505915 | NPI | - | NPPES |
| 10315 | Other | IA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Shell Rock Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Mason Way, Shell Rock, IA 50670 Phone: 319-885-6530 Fax: 319-885-6535 |