| Villisca Medical Clinic | |
|
205 N U Ave Villisca IA 50864-7013 | |
| (712) 826-4422 | |
| Not Available |
| Full Name | Villisca Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 N U Ave, Villisca, Iowa |
| Authorized Official Name and Position | Ronald G Kloewer (ADMINISTRATOR/CEO) |
| Authorized Official Contact | 7126237000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villisca Medical Clinic Po Box 498 Red Oak IA 51566-0498 Ph: (712) 623-7146 | Villisca Medical Clinic 205 N U Ave Villisca IA 50864-7013 Ph: (712) 826-4422 |
| NPI Number | 1417667072 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 9032015805 |
|---|---|
| Medicare Enrollment ID | O20221214003083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417667072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Villisca Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 S 5th Ave, Villisca, IA 50864 Phone: 712-826-3003 | |
Villisca Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 S 5th Ave, Villisca, IA 50864 Phone: 712-826-3003 |