| Iowa Physicians Clinic Medical Foundation | |
|
202 E 1st St Mechanicsville IA 52306-7701 | |
| (563) 432-7215 | |
| (563) 432-7758 |
| Full Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 202 E 1st St, Mechanicsville, Iowa |
| Authorized Official Name and Position | Erick J Laine (COO) |
| Authorized Official Contact | 5154719227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Physicians Clinic Medical Foundation 8101 Birchwood Court Suite R Johnston IA 50131-2930 Ph: (515) 471-9243 | Iowa Physicians Clinic Medical Foundation 202 E 1st St Mechanicsville IA 52306-7701 Ph: (563) 432-7215 |
| NPI Number | 1912934969 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912934969 | NPI | - | NPPES |
| 0689109 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |