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417 S East St Suite 100 Corydon IA 50060-1860 | |
(641) 872-2063 | |
(641) 872-2070 |
Full Name | |
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Speciality | Clinic/Center |
Location | 417 S East St, Corydon, Iowa |
Authorized Official Name and Position | Daren L Relph (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6418722260 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 305 Corydon IA 50060-0305 Ph: (641) 872-5351 | 417 S East St Suite 100 Corydon IA 50060-1860 Ph: (641) 872-2063 |
NPI Number | 1104125822 |
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Provider Enumeration Date | 03/21/2011 |
Last Update Date | 11/21/2017 |
Medicare PECOS PAC ID | 4082508734 |
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Medicare Enrollment ID | O20120328000047 |
Identifier | Type | State | Issuer |
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1104125822 | NPI | - | NPPES |
Infinity Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102-104 North Franklin St, Corydon, IA 50060 Phone: 641-872-1750 Fax: 641-872-1751 | |