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1307 S Broadway St Uppr Level Toledo IA 52342-2307 | |
(641) 484-5445 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1307 S Broadway St Uppr Level, Toledo, Iowa |
Authorized Official Name and Position | Pamela K. Delagardelle (CEO) |
Authorized Official Contact | 3192353606 |
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 | 1307 S Broadway St Uppr Level Toledo IA 52342-2307 Ph: (641) 484-5445 |
NPI Number | 1114452752 |
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Provider Enumeration Date | 04/20/2017 |
Last Update Date | 07/01/2022 |
Medicare PECOS PAC ID | 0941587307 |
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Medicare Enrollment ID | O20170511000295 |
Identifier | Type | State | Issuer |
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1114452752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |