Ultimate Care Medical Clinic, Inc | |
127 W Washington St Osceola IA 50213-1248 | |
(641) 223-8365 | |
(641) 223-8364 |
Full Name | Ultimate Care Medical Clinic, Inc |
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Speciality | Clinic/Center |
Location | 127 W Washington St, Osceola, Iowa |
Authorized Official Name and Position | Jannice Marie Taylor (PROVIDER) |
Authorized Official Contact | 6412238365 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ultimate Care Medical Clinic, Inc 127 W Washington St Osceola IA 50213-1248 Ph: (641) 223-8365 | Ultimate Care Medical Clinic, Inc 127 W Washington St Osceola IA 50213-1248 Ph: (641) 223-8365 |
NPI Number | 1316600737 |
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Provider Enumeration Date | 10/21/2021 |
Last Update Date | 02/09/2022 |
Medicare PECOS PAC ID | 9931597614 |
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Medicare Enrollment ID | O20211029000322 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316600737 | NPI | - | NPPES |
Provider Name | Jannice Marie Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841835030 PECOS PAC ID: 8123453180 Enrollment ID: I20200121002409 |
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