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3426 N Port Dr Ste 100 & 300 Muscatine IA 52761-2242 | |
(563) 262-4101 | |
(563) 264-9513 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3426 N Port Dr, Muscatine, Iowa |
Authorized Official Name and Position | Shawn Morrow (PRESIDENT) |
Authorized Official Contact | 3097792200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1518 Mulberry Ave Muscatine IA 52761-3433 Ph: (563) 264-9100 | 3426 N Port Dr Ste 100 & 300 Muscatine IA 52761-2242 Ph: (563) 262-4101 |
NPI Number | 1144872805 |
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Provider Enumeration Date | 07/12/2019 |
Last Update Date | 05/22/2024 |
Medicare PECOS PAC ID | 8224931548 |
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Medicare Enrollment ID | O20191105002566 |
Identifier | Type | State | Issuer |
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1144872805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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