| Audubon Medical Clinic | |
|
222 Broadway Audubon Medical Clinic Audubon IA 50025-1199 | |
| (712) 563-4206 | |
| (712) 563-2001 |
| Full Name | Audubon Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 222 Broadway, Audubon, Iowa |
| Authorized Official Name and Position | Terry L Sprague (PRESIDENT OF PC) |
| Authorized Official Contact | 7125634206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Medical Clinic 222 Broadway Audubon Medical Clinic Audubon IA 50025-1199 Ph: (712) 563-4206 | Audubon Medical Clinic 222 Broadway Audubon Medical Clinic Audubon IA 50025-1199 Ph: (712) 563-4206 |
| NPI Number | 1316998289 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316998289 | NPI | - | NPPES |
| I3936 | Other | IA | MEDICARE B GROUP # |
| 0638536 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Cunningham Family Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Suite 2, Audubon, IA 50025 Phone: 712-563-4611 Fax: 712-563-2498 | |
With Hope Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Broadway St Ste 2, Audubon, IA 50025 Phone: 855-563-6190 Fax: 855-563-6192 | |
Audubon County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Pacific Ave, Suite 2, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-5298 |