Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1803 C Ave, Vinton, 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 | 1803 C Ave Vinton IA 52349-1691 Ph: (319) 472-2304 |
NPI Number | 1306346176 |
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Provider Enumeration Date | 02/18/2018 |
Last Update Date | 02/18/2018 |
Medicare PECOS PAC ID | 4688572811 |
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Medicare Enrollment ID | O20180430001901 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306346176 | NPI | - | NPPES |
Benton County Public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 D Ave Ste 29, Vinton, IA 52349 Phone: 319-214-2601 Fax: 319-214-6102 | |