Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 709 2nd St, Victor, Iowa |
Authorized Official Name and Position | Kyle M Wilcox (CFO) |
Authorized Official Contact | 6412362919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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709 2nd St Victor IA 52347-7709 Ph: (319) 647-7511 | 709 2nd St Victor IA 52347-7709 Ph: (319) 647-7511 |
NPI Number | 1720154263 |
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Provider Enumeration Date | 11/27/2006 |
Last Update Date | 01/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720154263 | NPI | - | NPPES |
0685107 | Medicaid | IA |