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115 S Park Ave Eagle Grove IA 50533-2219 | |
| (515) 448-5185 | |
| (515) 448-4405 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 115 S Park Ave, Eagle Grove, Iowa |
| Authorized Official Name and Position | David Williams (PRESIDENT/CEO) |
| Authorized Official Contact | 5154719200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1455 Des Moines IA 50306-1455 Ph: (515) 471-9300 | 115 S Park Ave Eagle Grove IA 50533-2219 Ph: (515) 448-5185 |
| NPI Number | 1477007755 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 12/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477007755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Health Center Of Fort Dodge, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 W Broadway St, Eagle Grove, IA 50533 Phone: 515-576-6500 Fax: 515-576-1951 | |