Hawarden Regional Healthcare Clinics Llc | |
1122 Avenue L Hawarden IA 51023-1928 | |
(712) 551-3400 | |
(712) 551-2691 |
Full Name | Hawarden Regional Healthcare Clinics Llc |
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Speciality | Clinic/Center |
Location | 1122 Avenue L, Hawarden, Iowa |
Authorized Official Name and Position | Jayson P Pullman (CEO) |
Authorized Official Contact | 7125513100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hawarden Regional Healthcare Clinics Llc 1122 Avenue L Hawarden IA 51023-1928 Ph: (712) 551-3400 | Hawarden Regional Healthcare Clinics Llc 1122 Avenue L Hawarden IA 51023-1928 Ph: (712) 551-3400 |
NPI Number | 1013955004 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 07/12/2013 |
Medicare PECOS PAC ID | 7517929532 |
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Medicare Enrollment ID | O20041102000519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013955004 | NPI | - | NPPES |
0685032 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sioux Center Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Avenue F, Hawarden, IA 51023 Phone: 712-551-1000 | |
Hawarden Regional Healthcare Clinics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 Avenue L, Hawarden, IA 51023 Phone: 712-551-3400 Fax: 712-551-2691 |