| Amana Family Practice Clinic, Pc | |
|
505 39th Ave Amana IA 52203-8229 | |
| (319) 622-3231 | |
| (319) 622-3077 |
| Full Name | Amana Family Practice Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 505 39th Ave, Amana, Iowa |
| Authorized Official Name and Position | Timothy D Momany (PRESIDENT) |
| Authorized Official Contact | 3196223231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amana Family Practice Clinic, Pc 505 39th Ave Po Box 207 Amana IA 52203-8229 Ph: (319) 622-3231 | Amana Family Practice Clinic, Pc 505 39th Ave Amana IA 52203-8229 Ph: (319) 622-3231 |
| NPI Number | 1073677019 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 09/28/2009 |
| Medicare PECOS PAC ID | 1658363270 |
|---|---|
| Medicare Enrollment ID | O20040401001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073677019 | NPI | - | NPPES |
| CJ8590 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amy L Lukas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083601744 PECOS PAC ID: 5597663831 Enrollment ID: I20031223000796 |
| Provider Name | Ronald W Dose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891763389 PECOS PAC ID: 0446349989 Enrollment ID: I20071205000457 |
| Provider Name | Timothy D Momany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598873523 PECOS PAC ID: 7719979343 Enrollment ID: I20100323000909 |
Colonies Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 728 47th Ave, Amana, IA 52203 Phone: 319-225-8700 Fax: 319-225-8660 |