| Keosauqua Medical Clinic | |
|
304 Franklin St Keosauqua IA 52565-1164 | |
| (319) 293-3171 | |
| (319) 293-6241 |
| Full Name | Keosauqua Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 304 Franklin St, Keosauqua, Iowa |
| Authorized Official Name and Position | Kara M. Mcentee (CFO) |
| Authorized Official Contact | 3192933171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keosauqua Medical Clinic 304 Franklin St Keosauqua IA 52565-1164 Ph: (319) 293-3171 | Keosauqua Medical Clinic 304 Franklin St Keosauqua IA 52565-1164 Ph: (319) 293-3171 |
| NPI Number | 1831260280 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 11/14/2013 |
| Medicare PECOS PAC ID | 7214829530 |
|---|---|
| Medicare Enrollment ID | O20050214000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831260280 | NPI | - | NPPES |
| 0634535 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wells Hometown Drug Keosauqua Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1547 Broad St, Keosauqua, IA 52565 Phone: 319-293-7757 Fax: 319-293-7741 | |
Tim Blair Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Broad Street, Suite 2, Keosauqua, IA 52565 Phone: 319-293-7771 Fax: 866-894-9687 |