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105 9th Ave Belle Plaine IA 52208-2200 | |
(319) 444-3210 | |
(319) 444-4099 |
Full Name | |
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Speciality | Family Medicine |
Location | 105 9th Ave, Belle Plaine, Iowa |
Authorized Official Name and Position | Philip E Roudabush (DIRECTOR, PATIENT FINANCIAL SERVICE) |
Authorized Official Contact | 3193842334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Hawkins Dr Iowa City IA 52242-1007 Ph: () - | 105 9th Ave Belle Plaine IA 52208-2200 Ph: (319) 444-3210 |
NPI Number | 1194773606 |
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Provider Enumeration Date | 05/05/2006 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
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1194773606 | NPI | - | NPPES |
0280024 | Medicaid | IA | |
CK8848 | Other | IA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |