| Van Diest Family Health Clinic Of Fort Dodge | |
|
119 Avenue O W Fort Dodge IA 50501-5634 | |
| (515) 955-9200 | |
| Not Available |
| Full Name | Van Diest Family Health Clinic Of Fort Dodge |
|---|---|
| Speciality | Family Medicine |
| Location | 119 Avenue O W, Fort Dodge, Iowa |
| Authorized Official Name and Position | Alice Ann Heinrichs (CFO) |
| Authorized Official Contact | 5158329400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Diest Family Health Clinic Of Fort Dodge Po Box 430 Webster City IA 50595-0430 Ph: (515) 832-7705 | Van Diest Family Health Clinic Of Fort Dodge 119 Avenue O W Fort Dodge IA 50501-5634 Ph: (515) 955-9200 |
| NPI Number | 1508481243 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Medicare PECOS PAC ID | 1254241565 |
|---|---|
| Medicare Enrollment ID | O20201020001239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508481243 | NPI | - | NPPES |
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