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218 N 2nd St Wapello IA 52653-1202 | |
(319) 523-8205 | |
(319) 523-8840 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 218 N 2nd St, Wapello, Iowa |
Authorized Official Name and Position | Terry J. Protextor (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3193377642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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218 N 2nd St Wapello IA 52653-1202 Ph: (319) 523-8205 | 218 N 2nd St Wapello IA 52653-1202 Ph: (319) 523-8205 |
NPI Number | 1255568804 |
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Provider Enumeration Date | 06/22/2009 |
Last Update Date | 06/22/2009 |
Identifier | Type | State | Issuer |
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1255568804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |