| Internal Medicine Of Council Bluffs P.c. | |
|
25 S 15th St Suite 1 Council Bluffs IA 51501-3900 | |
| (712) 323-0062 | |
| (712) 323-5369 |
| Full Name | Internal Medicine Of Council Bluffs P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 S 15th St, Council Bluffs, Iowa |
| Authorized Official Name and Position | Ruben Altman (PRESIDENT) |
| Authorized Official Contact | 7123230062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Council Bluffs P.c. 25 S 15th St Suite 1 Council Bluffs IA 51501-3900 Ph: (712) 323-0062 | Internal Medicine Of Council Bluffs P.c. 25 S 15th St Suite 1 Council Bluffs IA 51501-3900 Ph: (712) 323-0062 |
| NPI Number | 1295905099 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
| Medicare PECOS PAC ID | 1850477803 |
|---|---|
| Medicare Enrollment ID | O20080401000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295905099 | NPI | - | NPPES |
| 0092007 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19162 (Iowa) | Primary |
| Provider Name | Ruben Altman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740222348 PECOS PAC ID: 4183688088 Enrollment ID: I20041118001080 |
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