| Lucas County Health Center Medical Clinic | |
|
1200 N 7th St Chariton IA 50049-1210 | |
| (641) 774-8103 | |
| Not Available |
| Full Name | Lucas County Health Center Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 N 7th St, Chariton, Iowa |
| Authorized Official Name and Position | Lori Johnson (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 6417743360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas County Health Center Medical Clinic 1200 N 7th St Chariton IA 50049-1210 Ph: (641) 774-8103 | Lucas County Health Center Medical Clinic 1200 N 7th St Chariton IA 50049-1210 Ph: (641) 774-8103 |
| NPI Number | 1538466842 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 12/16/2020 |
| Medicare PECOS PAC ID | 8921916792 |
|---|---|
| Medicare Enrollment ID | O20130823001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538466842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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