| Winnmed Fayette Clinic | |
|
605 Washington St Fayette IA 52142-9206 | |
| (563) 382-2911 | |
| Not Available |
| Full Name | Winnmed Fayette Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 605 Washington St, Fayette, Iowa |
| Authorized Official Name and Position | Steven Robert Slessor (CAO) |
| Authorized Official Contact | 5633873145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnmed Fayette Clinic 901 Montgomery St Decorah IA 52101-2325 Ph: (563) 382-2911 | Winnmed Fayette Clinic 605 Washington St Fayette IA 52142-9206 Ph: (563) 382-2911 |
| NPI Number | 1245857515 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245857515 | NPI | - | NPPES |
| 2908209 | Medicaid | IA | |
| 3908209 | Medicaid | IA | |
| 0908209 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Gundersen Palmer Lutheran Hospital And Clinics - Fayette Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 King St, Fayette, IA 52142 Phone: 563-425-3381 |