Mccrary-rost Clinic | |
1301 W Main St Lake City IA 51449-1585 | |
(712) 464-3171 | |
(712) 464-3269 |
Full Name | Mccrary-rost Clinic |
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Speciality | Family Medicine |
Location | 1301 W Main St, Lake City, Iowa |
Authorized Official Name and Position | James L Henkenius (CFO) |
Authorized Official Contact | 7124644200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mccrary-rost Clinic 1301 W Main St Lake City IA 51449-1585 Ph: (712) 464-3171 | Mccrary-rost Clinic 1301 W Main St Lake City IA 51449-1585 Ph: (712) 464-3171 |
NPI Number | 1013058924 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 11/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013058924 | NPI | - | NPPES |
0007880 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Iowa) | Primary |
208600000X | Surgery | (Iowa) | Secondary |
363A00000X | Physician Assistant | (Iowa) | Secondary |
363L00000X | Nurse Practitioner | (Iowa) | Secondary |