| State Center Family Medicine Clinic | |
|
503 3rd Ave Sw State Center IA 50247-7719 | |
| (641) 483-2141 | |
| Not Available |
| Full Name | State Center Family Medicine Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 503 3rd Ave Sw, State Center, Iowa |
| Authorized Official Name and Position | Robert L. Downey (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6417545125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Center Family Medicine Clinic 3 South 4th Avenue Marshalltown IA 50158-2998 Ph: (641) 754-5151 | State Center Family Medicine Clinic 503 3rd Ave Sw State Center IA 50247-7719 Ph: (641) 483-2141 |
| NPI Number | 1891771663 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891771663 | NPI | - | NPPES |
| 0685214 | Medicaid | IA | |
| 47411 | Other | IA | BLUE SHIELD OF IOWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Unitypoint Health - Family Medicine Clinic - State Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 3rd Ave Sw, State Center, IA 50247 Phone: 641-844-2970 | |
Cih State Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 3rd Ave Sw, State Center, IA 50247 Phone: 641-844-2970 |