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620 Northwestern Dr Ste 1 Storm Lake IA 50588-2935 | |
(712) 732-5030 | |
(712) 732-2538 |
Full Name | |
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Speciality | Clinic/Center |
Location | 620 Northwestern Dr Ste 1, Storm Lake, Iowa |
Authorized Official Name and Position | Leah M Glasgo (MARKET PRESIDENT) |
Authorized Official Contact | 5155733101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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802 Kenyon Rd Fort Dodge IA 50501-5740 Ph: (515) 574-6565 | 620 Northwestern Dr Ste 1 Storm Lake IA 50588-2935 Ph: (712) 732-5030 |
NPI Number | 1275051914 |
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Provider Enumeration Date | 09/01/2017 |
Last Update Date | 11/19/2024 |
Medicare PECOS PAC ID | 7315858529 |
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Medicare Enrollment ID | O20180413002084 |
Identifier | Type | State | Issuer |
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1275051914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
United Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 W Milwaukee Ave, Storm Lake, IA 50588 Phone: 712-213-0109 Fax: 712-213-0186 | |
Planned Parenthood Of The Heartland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Erie Street, Storm Lake, IA 50588 Phone: 866-290-4325 Fax: 515-280-9525 |