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498 N Highland St. Williamsburg IA 52361-9695 | |
(319) 668-6789 | |
(319) 668-6791 |
Full Name | |
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Speciality | Clinic/Center |
Location | 498 N Highland St., Williamsburg, Iowa |
Authorized Official Name and Position | Barry G Goettsch (CEO) |
Authorized Official Contact | 3196425543 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 W May St Marengo IA 52301-1261 Ph: (319) 642-8160 | 498 N Highland St. Williamsburg IA 52361-9695 Ph: (319) 668-6789 |
NPI Number | 1548681216 |
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Provider Enumeration Date | 12/26/2013 |
Last Update Date | 01/21/2020 |
Medicare PECOS PAC ID | 0749199446 |
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Medicare Enrollment ID | O20140716000626 |
Identifier | Type | State | Issuer |
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1548681216 | NPI | - | NPPES |