| Shenandoah Physicians Clinic | |
|
802 Illinois St Sidney IA 51652-0217 | |
| (712) 374-6005 | |
| (712) 374-2301 |
| Full Name | Shenandoah Physicians Clinic |
|---|---|
| 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 |
|---|---|
| Shenandoah Physicians Clinic 802 Illinois Street Sidney IA 51652-0217 Ph: (712) 374-6005 | Shenandoah Physicians Clinic 802 Illinois St Sidney IA 51652-0217 Ph: (712) 374-6005 |
| NPI Number | 1700941648 |
|---|---|
| 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 |
Shenandoah Physicians Clinic-sidney Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 Illinois St, Sidney, IA 51652 Phone: 712-374-6005 Fax: 712-374-3100 | |
Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 Main St, Sidney, IA 51652 Phone: 712-374-2649 |