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131 W 2nd St Sutherland IA 51058-7615 | |
(712) 446-2567 | |
(712) 446-2631 |
Full Name | |
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Speciality | Family Medicine |
Location | 131 W 2nd St, Sutherland, Iowa |
Authorized Official Name and Position | Gary Jordan (PRESIDENT & CEO) |
Authorized Official Contact | 7122255101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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300 Sioux Valley Dr Cherokee IA 51012-1205 Ph: (712) 225-3368 | 131 W 2nd St Sutherland IA 51058-7615 Ph: (712) 446-2567 |
NPI Number | 1962221903 |
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Provider Enumeration Date | 10/07/2024 |
Last Update Date | 10/17/2024 |
Identifier | Type | State | Issuer |
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1962221903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |