Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 616 10th St, Perry, Iowa |
Authorized Official Name and Position | Kenneth L. Fisher (CFO) |
Authorized Official Contact | 3193842844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
616 10th St Perry IA 50220-2221 Ph: (515) 465-3553 | 616 10th St Perry IA 50220-2221 Ph: (515) 465-3553 |
NPI Number | 1306920103 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 07/07/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306920103 | NPI | - | NPPES |
0638809 | Other | IA | RHC MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |