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1303 11th Ave Manson IA 50563-5065 | |
(712) 469-3307 | |
(712) 469-2614 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1303 11th Ave, Manson, 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 | 1303 11th Ave Manson IA 50563-5065 Ph: (712) 469-3307 |
NPI Number | 1851819593 |
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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 | O20171128002613 |
Identifier | Type | State | Issuer |
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1851819593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Manson Family Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 11th Ave, Manson, IA 50563 Phone: 712-469-3307 Fax: 712-469-2614 | |
Elizabeth W Stoebe Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 11th Ave, Manson, IA 50563 Phone: 712-469-3307 Fax: 712-469-2614 | |