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1307 S Broadway St Toledo IA 52342-2307 | |
(641) 484-4449 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1307 S Broadway St, Toledo, Iowa |
Authorized Official Name and Position | Robert B. Cooper (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6417545145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1307 S Broadway St Toledo IA 52342-2307 Ph: (641) 484-4449 | 1307 S Broadway St Toledo IA 52342-2307 Ph: (641) 484-4449 |
NPI Number | 1316924848 |
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Provider Enumeration Date | 12/27/2005 |
Last Update Date | 12/03/2008 |
Identifier | Type | State | Issuer |
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1316924848 | NPI | - | NPPES |
0634394 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |