| Fredericksburg Family Health Clinic | |
|
115 Schult Ridge Rd Fredericksburg IA 50630-9582 | |
| (563) 237-5316 | |
| (563) 237-6337 |
| Full Name | Fredericksburg Family Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Schult Ridge Rd, Fredericksburg, Iowa |
| Authorized Official Name and Position | Joseph Bernard Peraud (DOCTOR) |
| Authorized Official Contact | 5632375316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericksburg Family Health Clinic 115 Schult Ridge Rd Po Box 335 Fredericksburg IA 50630-9582 Ph: (563) 237-5316 | Fredericksburg Family Health Clinic 115 Schult Ridge Rd Fredericksburg IA 50630-9582 Ph: (563) 237-5316 |
| NPI Number | 1326085739 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326085739 | NPI | - | NPPES |
| 13040 | Other | IA | BCBS |
| 0130401 | Medicaid | IA | |
| 16D0384603 | Other | IA | CLIA# |
| A004550 | Other | IA | TRICARE PROV.# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fredericksburg Family Health Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Schult Ridge Rd, Fredericksburg, IA 50630 Phone: 563-237-5316 |