| Shenandoah Doctors Clinic | |
|
1 Jack Foster Dr Suite #447 Shenandoah IA 51601-4586 | |
| (712) 246-1000 | |
| (712) 246-1050 |
| Full Name | Shenandoah Doctors Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Jack Foster Dr, Shenandoah, Iowa |
| Authorized Official Name and Position | Timothy Anthony Fursa (PRESIDENT) |
| Authorized Official Contact | 7122461000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Doctors Clinic 1 Jack Foster Dr Suite #447 Shenandoah IA 51601-4586 Ph: (712) 246-1000 | Shenandoah Doctors Clinic 1 Jack Foster Dr Suite #447 Shenandoah IA 51601-4586 Ph: (712) 246-1000 |
| NPI Number | 1841260346 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841260346 | NPI | - | NPPES |
| 3214536 | Medicaid | IA | |
| 35131 | Other | IA | MIDLANDS CHOICE |
| 39007 | Other | IA | WELLMARK |
| P00232672 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 33651 (Iowa) | Primary |
Shenandoah Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Pershing Ave, Shenandoah, IA 51601 Phone: 712-246-1230 Fax: 712-246-7357 | |
Nebraska Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Jack Foster Dr, Shenandoah, IA 51601 Phone: 712-246-7400 Fax: 712-246-7334 | |
Shenandoah Physicians Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Jack Foster Dr, Shenandoah, IA 51601 Phone: 712-246-7240 Fax: 712-246-7357 | |
Shenandoah Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Pershing Ave, Shenandoah, IA 51601 Phone: 712-246-1230 Fax: 712-246-7357 |