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1518 Mulberry Ave Ste 101 & 102 Muscatine IA 52761-3433 | |
(563) 262-4111 | |
(563) 264-0263 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1518 Mulberry Ave, 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 | 1518 Mulberry Ave Ste 101 & 102 Muscatine IA 52761-3433 Ph: (563) 262-4111 |
NPI Number | 1447802400 |
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Provider Enumeration Date | 07/10/2019 |
Last Update Date | 10/14/2024 |
Medicare PECOS PAC ID | 8224931548 |
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Medicare Enrollment ID | O20191106000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447802400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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