| Iowa Physicians Clinic Medical Foundation | |
|
214 3rd St Keystone IA 52249-9520 | |
| (319) 442-3215 | |
| (319) 442-3217 |
| Full Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 214 3rd St, Keystone, Iowa |
| Authorized Official Name and Position | Robin L Mcnichols (VP/COO) |
| Authorized Official Contact | 5154719201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Physicians Clinic Medical Foundation 8101 Birchwood Ct Suite R Johnston IA 50131-2930 Ph: (515) 471-9372 | Iowa Physicians Clinic Medical Foundation 214 3rd St Keystone IA 52249-9520 Ph: (319) 442-3215 |
| NPI Number | 1164470746 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164470746 | NPI | - | NPPES |
| 0689018 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |