Shenandoah Medical Center | |
713 Main St Tabor IA 51653-2031 | |
(712) 246-7400 | |
Not Available |
Full Name | Shenandoah Medical Center |
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Speciality | Clinic/Center |
Location | 713 Main St, Tabor, Iowa |
Authorized Official Name and Position | Kiley Wilson (EOB CASH SPECIALIST) |
Authorized Official Contact | 7122467452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shenandoah Medical Center 300 Pershing Ave Shenandoah IA 51601-2355 Ph: (712) 246-7400 | Shenandoah Medical Center 713 Main St Tabor IA 51653-2031 Ph: (712) 246-7400 |
NPI Number | 1508487547 |
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Provider Enumeration Date | 04/30/2020 |
Last Update Date | 04/30/2020 |
Medicare PECOS PAC ID | 9436063237 |
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Medicare Enrollment ID | O20200527001531 |
Identifier | Type | State | Issuer |
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1508487547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 Center St, Tabor, IA 51653 Phone: 712-629-2975 |