| Tri-state Medical Group Inc | |
|
400 N 17th St Keokuk IA 52632-3452 | |
| (319) 524-5734 | |
| (319) 524-5758 |
| Full Name | Tri-state Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 N 17th St, Keokuk, Iowa |
| Authorized Official Name and Position | Antonio Flores (CEO) |
| Authorized Official Contact | 3197685858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Medical Group Inc 1706 West Agency Road West Burlington IA 52655 Ph: (319) 768-5858 | Tri-state Medical Group Inc 400 N 17th St Keokuk IA 52632-3452 Ph: (319) 524-5734 |
| NPI Number | 1558340968 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 07/15/2024 |
| Medicare PECOS PAC ID | 4486562527 |
|---|---|
| Medicare Enrollment ID | O20021216000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558340968 | NPI | - | NPPES |
| 0278374 | Medicaid | IA | |
| 506089408 | Medicaid | MO | |
| 33624 | Other | IA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
James F Holsinger Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 Morgan Street, Suite 3, Keokuk, IA 52632 Phone: 319-524-4300 Fax: 319-524-4424 | |
Bfm Dba Keokuk Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Keokuk, IA 52632 Phone: 319-376-1149 | |
Blessing Health Keokuk Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Keokuk, IA 52632 Phone: 319-524-0123 | |
Quincy Medical Group Keokuk Affiliate Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1603 Morgan St Ste 3, Keokuk, IA 52632 Phone: 319-524-4300 Fax: 319-524-4424 | |
Charles F Eddingfield Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Morgan Street, Keokuk, IA 52632 Phone: 319-524-7777 Fax: 319-524-7782 | |
Henry County Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3285 Main St, Keokuk, IA 52632 Phone: 319-524-6274 |