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417 S East St Suite #100 Corydon IA 50060-1860 | |
| (641) 872-2063 | |
| (641) 872-2070 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 417 S East St, Corydon, Iowa |
| Authorized Official Name and Position | Julie Jane Rupe (OFFICE MANAGER) |
| Authorized Official Contact | 6418722063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 365 Corydon IA 50060-0365 Ph: (641) 872-2063 | 417 S East St Suite #100 Corydon IA 50060-1860 Ph: (641) 872-2063 |
| NPI Number | 1861586810 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861586810 | NPI | - | NPPES |
| CI4009 | Other | IA | R.R. MCARE |
| 03040 | Other | IA | BC/BS GROUP NUMBER |
| 0070342 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 | |