| Ida Grove Family Health Center Pllc | |
|
101 2nd St Ida Grove IA 51445-1401 | |
| (712) 364-2300 | |
| (712) 364-2881 |
| Full Name | Ida Grove Family Health Center Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 2nd St, Ida Grove, Iowa |
| Authorized Official Name and Position | Michael Patrick Luft (OWNER) |
| Authorized Official Contact | 7123642300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Grove Family Health Center Pllc 101 2nd St Ida Grove IA 51445-1401 Ph: (712) 364-2300 | Ida Grove Family Health Center Pllc 101 2nd St Ida Grove IA 51445-1401 Ph: (712) 364-2300 |
| NPI Number | 1518111657 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 10/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518111657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 03156 (Iowa) | Primary |
Ida County Iowa Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 E 2nd St Ste 2, Ida Grove, IA 51445 Phone: 712-364-2514 | |
Medical Arts Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E 2nd St, Ida Grove, IA 51445 Phone: 712-364-3504 Fax: 712-364-2539 |