| Unitypoint Clinic Pediatrics Fort Dodge | |
|
804 Kenyon Rd Ste D Fort Dodge IA 50501-5744 | |
| (515) 574-6855 | |
| (515) 573-7274 |
| Full Name | Unitypoint Clinic Pediatrics Fort Dodge |
|---|---|
| Speciality | Clinic/Center |
| Location | 804 Kenyon Rd Ste D, Fort Dodge, Iowa |
| Authorized Official Name and Position | Leah M Glasgo (CEO) |
| Authorized Official Contact | 5155733101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unitypoint Clinic Pediatrics Fort Dodge 802 Kenyon Rd Fort Dodge IA 50501-5740 Ph: (515) 574-6565 | Unitypoint Clinic Pediatrics Fort Dodge 804 Kenyon Rd Ste D Fort Dodge IA 50501-5744 Ph: (515) 574-6855 |
| NPI Number | 1447778170 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 05/19/2020 |
| Medicare PECOS PAC ID | 7315858529 |
|---|---|
| Medicare Enrollment ID | O20171206000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447778170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Unitypoint Clinic-pediatrics-fort Dodge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Kenyon Rd, Ste D, Fort Dodge, IA 50501 Phone: 515-574-6855 Fax: 515-573-7274 | |
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Unitypoint Clinic Pediatrics Fort Dodge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Kenyon Rd, Ste D, Fort Dodge, IA 50501 Phone: 515-574-6855 Fax: 515-573-7274 | |
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