| Shenandoah Physicians Clinic | |
|
1 Jack Foster Dr Shenandoah IA 51601-4586 | |
| (712) 246-7240 | |
| (712) 246-7357 |
| Full Name | Shenandoah Physicians Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Jack Foster Dr, Shenandoah, Iowa |
| Authorized Official Name and Position | Karen Cole (CEO) |
| Authorized Official Contact | 7122461230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Physicians Clinic 300 Pershing Ave Po Box 380 Shenandoah IA 51601-2355 Ph: (712) 246-7240 | Shenandoah Physicians Clinic 1 Jack Foster Dr Shenandoah IA 51601-4586 Ph: (712) 246-7240 |
| NPI Number | 1427300201 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 9436063237 |
|---|---|
| Medicare Enrollment ID | O20101018000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427300201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 730065H (Iowa) | Secondary |
| 207R00000X | Internal Medicine | 730065H (Iowa) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 730065H (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 Doctors Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Jack Foster Dr, Suite #447, Shenandoah, IA 51601 Phone: 712-246-1000 Fax: 712-246-1050 | |
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 |