| St Ansgar Clinic | |
|
140 W 4th St Suite 1 Saint Ansgar IA 50472-1352 | |
| (641) 736-4401 | |
| (641) 713-4977 |
| Full Name | St Ansgar Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 W 4th St, Saint Ansgar, Iowa |
| Authorized Official Name and Position | Michele Russell (CEO) |
| Authorized Official Contact | 6417326003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Ansgar Clinic 616 N 8th St Osage IA 50461-1456 Ph: (641) 732-6000 | St Ansgar Clinic 140 W 4th St Suite 1 Saint Ansgar IA 50472-1352 Ph: (641) 736-4401 |
| NPI Number | 1518059138 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 12/07/2020 |
| Medicare PECOS PAC ID | 5890603070 |
|---|---|
| Medicare Enrollment ID | O20050211000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518059138 | NPI | - | NPPES |
| 0634451 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dbmc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 417 W 4th St, Saint Ansgar, IA 50472 Phone: 641-713-2168 Fax: 641-713-3168 |