Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 111 Tower St, Denver, Iowa |
Authorized Official Name and Position | Jennifer Ann Friedly (PRESIDENT) |
Authorized Official Contact | 6417545145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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55 Unitypoint Way Marshalltown IA 50158-4749 Ph: (641) 754-5145 | 111 Tower St Denver IA 50622-2201 Ph: (319) 984-5645 |
NPI Number | 1467089334 |
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Provider Enumeration Date | 03/23/2020 |
Last Update Date | 04/27/2022 |
Medicare PECOS PAC ID | 0941587307 |
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Medicare Enrollment ID | O20201215001314 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467089334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |