| Iowa Physicians Clinic Medical Foundation | |
|
1791 Highway 64 E Anamosa IA 52205-2112 | |
| (319) 462-3571 | |
| (319) 462-6043 |
| Full Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1791 Highway 64 E, Anamosa, Iowa |
| Authorized Official Name and Position | Erick J Laine (COO) |
| Authorized Official Contact | 5154719227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Physicians Clinic Medical Foundation 8101 Birchwood Court Suite R Johnston IA 50131-2930 Ph: (515) 471-9243 | Iowa Physicians Clinic Medical Foundation 1791 Highway 64 E Anamosa IA 52205-2112 Ph: (319) 462-3571 |
| NPI Number | 1043269079 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043269079 | NPI | - | NPPES |
| 0638940 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St Luke's Jones Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1791 Highway 64 E, Anamosa, IA 52205 Phone: 319-462-3571 Fax: 319-462-6043 |