| Mercyone Sutherland Family Medicine | |
|
108 W 2nd St Sutherland IA 51058-7672 | |
| (712) 446-2567 | |
| (712) 446-2612 |
| Full Name | Mercyone Sutherland Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 W 2nd St, Sutherland, Iowa |
| Authorized Official Name and Position | Andrew Schierholz (BOARD PRESIDENT) |
| Authorized Official Contact | 7123631075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Sutherland Family Medicine Po Box 500 Sutherland IA 51058-7672 Ph: (712) 446-2567 | Mercyone Sutherland Family Medicine 108 W 2nd St Sutherland IA 51058-7672 Ph: (712) 446-2567 |
| NPI Number | 1548209984 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 02/24/2020 |
| Medicare PECOS PAC ID | 0446154033 |
|---|---|
| Medicare Enrollment ID | O20041104001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548209984 | NPI | - | NPPES |
| 0634972 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sutherland Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 W 2nd St, Sutherland, IA 51058 Phone: 712-446-2567 Fax: 712-446-2631 |