| Guthrie Family Medicine Center Plc | |
|
502 Main Guthrie Center IA 50115 | |
| (641) 332-2365 | |
| (641) 332-2370 |
| Full Name | Guthrie Family Medicine Center Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 502 Main, Guthrie Center, Iowa |
| Authorized Official Name and Position | Steven R Bascom (PARTNER) |
| Authorized Official Contact | 6413322365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guthrie Family Medicine Center Plc 502 Main Guthrie Center IA 50115 Ph: (641) 332-2365 | Guthrie Family Medicine Center Plc 502 Main Guthrie Center IA 50115 Ph: (641) 332-2365 |
| NPI Number | 1740258375 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 12/23/2009 |
| Medicare PECOS PAC ID | 6406748714 |
|---|---|
| Medicare Enrollment ID | O20040329001731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740258375 | NPI | - | NPPES |
| 080023738 | Other | RR MEDICARE | |
| IA0105 | Other | JOHN DEERE | |
| 080023739 | Other | RAIL ROAD MEDICARE | |
| 0293423 | Medicaid | IA | |
| 183053 | Other | FIRST ADMINISTRATORS | |
| 0179945 | Medicaid | IA | |
| 0183053 | Medicaid | IA | |
| 22362 | Other | IOWA LICENCE NUMBER | |
| 241160 | Other | MIDLANDS | |
| IA0106 | Other | JOHN DEERE | |
| 10821 | Other | MIDLANDS | |
| 179945 | Other | FIRST ADMINISTRATORS | |
| 22458 | Other | IOWA LICENCE NUMBER | |
| 17994 | Other | BLUE CROSS BLUE SHIELD | |
| 18305 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David R Ahrens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891754941 PECOS PAC ID: 1850283169 Enrollment ID: I20080331000268 |
| Provider Name | Steven R Bascom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164491502 PECOS PAC ID: 0941387120 Enrollment ID: I20080411000651 |