Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 403 1st St, Maxwell, Iowa |
Authorized Official Name and Position | Nathan D Thompson (CEO) |
Authorized Official Contact | 5153822111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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403 1st St Maxwell IA 50161-7700 Ph: (515) 387-8815 | 403 1st St Maxwell IA 50161-7700 Ph: (515) 387-8815 |
NPI Number | 1316471162 |
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Provider Enumeration Date | 04/19/2017 |
Last Update Date | 04/19/2017 |
Medicare PECOS PAC ID | 0547153884 |
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Medicare Enrollment ID | O20170427001578 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316471162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |