| |
411 1st Ave Clarence IA 52216-9744 | |
(563) 452-3211 | |
(563) 452-3215 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 411 1st Ave, Clarence, Iowa |
Authorized Official Name and Position | Eric Briesemeister (CEO) |
Authorized Official Contact | 3194626131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1795 Highway 64 E Anamosa IA 52205-2112 Ph: (319) 462-6131 | 411 1st Ave Clarence IA 52216-9744 Ph: (563) 452-3211 |
NPI Number | 1598289316 |
---|---|
Provider Enumeration Date | 08/02/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4688572811 |
---|---|
Medicare Enrollment ID | O20171003004469 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598289316 | NPI | - | NPPES |