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111 S Reynolds St Postville IA 52162-7737 | |
(563) 864-7512 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 111 S Reynolds St, Postville, Iowa |
Authorized Official Name and Position | Patrice Kuennen (CEO) |
Authorized Official Contact | 5634223811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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111 S Reynolds St Postville IA 52162-7737 Ph: (563) 864-7512 | 111 S Reynolds St Postville IA 52162-7737 Ph: (563) 864-7512 |
NPI Number | 1508227539 |
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Provider Enumeration Date | 03/18/2016 |
Last Update Date | 11/29/2018 |
Medicare PECOS PAC ID | 4284544255 |
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Medicare Enrollment ID | O20161116000664 |
Identifier | Type | State | Issuer |
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1508227539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |