Sioux Rapids Family Care | |
113 2nd St Sioux Rapids IA 50585-2057 | |
(712) 283-2723 | |
(712) 283-2751 |
Full Name | Sioux Rapids Family Care |
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Speciality | Clinic/center |
Location | 113 2nd St, Sioux Rapids, Iowa |
Authorized Official Name and Position | Brenda Tiefenthaler (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7122646111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sioux Rapids Family Care 1200 1st Ave E Spencer IA 51301-4330 Ph: (712) 264-6111 | Sioux Rapids Family Care 113 2nd St Sioux Rapids IA 50585-2057 Ph: (712) 283-2723 |
NPI Number | 1538156039 |
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Provider Enumeration Date | 09/30/2005 |
Last Update Date | 10/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538156039 | NPI | - | NPPES |
0271049 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 37H (Iowa) | Primary |