Sully Family Health Center is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Sully, Iowa. The current practice location for Sully Family Health Center is 704 3rd St, Sully, Iowa. For appointments, you can reach them via phone at
(641) 594-3150. The mailing address for Sully Family Health Center is P.o. Box 327, 704 3rd Street,, Sully, Iowa and phone number is (641) 594-3150.
Sully Family Health Center is licensed to practice in Iowa (license number 630165H). The clinic also participates in the medicare program and its
NPI number is 1104860808. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(641) 594-3150.
Primary Care Clinic Profile
| Full Name | Sully Family Health Center |
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| Speciality | Clinic/Center |
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| Location | 704 3rd St, Sully, Iowa |
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| Authorized Official Name and Position | Robert D Kroese (CEO) |
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| Authorized Official Contact | 6416286604 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sully Family Health Center
P.o. Box 327
704 3rd Street,
Sully
IA 50251
Ph: (641) 594-3150 | Sully Family Health Center
704 3rd St
Sully
IA 50251-1016
Ph: (641) 594-3150 |
NPI Details:
| NPI Number | 1104860808 |
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| Provider Enumeration Date | 06/15/2006 |
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| Last Update Date | 12/06/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9931005873 |
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| Medicare Enrollment ID | O20050127000760 |
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Medical Identifiers
Medical identifiers for Sully Family Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104860808 | NPI | - | NPPES |
| 0634550 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | 630165H (Iowa) | Primary |
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