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208 Main St Lake View IA 51450-7717 | |
(712) 657-8513 | |
(712) 657-2939 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 208 Main St, Lake View, 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 |
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Po Box 1455 Des Moines IA 50306-1455 Ph: (515) 471-9300 | 208 Main St Lake View IA 51450-7717 Ph: (712) 657-8513 |
NPI Number | 1699229989 |
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Provider Enumeration Date | 08/04/2016 |
Last Update Date | 12/05/2016 |
Identifier | Type | State | Issuer |
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1699229989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |