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802 Illinois St Sidney IA 51652-0217 | |
(712) 374-6005 | |
(712) 374-2301 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 802 Illinois St, Sidney, Iowa |
Authorized Official Name and Position | Karen Cole (CEO) |
Authorized Official Contact | 7122461230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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802 Illinois Street Sidney IA 51652-0217 Ph: (712) 374-6005 | 802 Illinois St Sidney IA 51652-0217 Ph: (712) 374-6005 |
NPI Number | 1700941648 |
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Provider Enumeration Date | 12/22/2006 |
Last Update Date | 10/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700941648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 730065H (Iowa) | Primary |