| Medical Clinic Llc | |
|
1219 Main St Hamburg IA 51640-1300 | |
| (712) 382-2626 | |
| Not Available |
| Full Name | Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1219 Main St, Hamburg, Iowa |
| Authorized Official Name and Position | Cristin A Hendrickson (CEO) |
| Authorized Official Contact | 7123821515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Clinic Llc 1219 Main St Hamburg IA 51640-1300 Ph: (712) 382-2626 | Medical Clinic Llc 1219 Main St Hamburg IA 51640-1300 Ph: (712) 382-2626 |
| NPI Number | 1124218706 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 5395634216 |
|---|---|
| Medicare Enrollment ID | O20071003000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124218706 | NPI | - | NPPES |
| 0018507 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael J Ourada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427164789 PECOS PAC ID: 2769370402 Enrollment ID: I20040305000345 |
| Provider Name | Kelli E Woltemath |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285606731 PECOS PAC ID: 1951294982 Enrollment ID: I20051229000612 |
| Provider Name | Alisha Jolene Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559083 PECOS PAC ID: 7618155466 Enrollment ID: I20210721002655 |
| Provider Name | Paige Michelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710655352 PECOS PAC ID: 8123405149 Enrollment ID: I20220512002729 |
| Provider Name | Paulina K Gossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962180224 PECOS PAC ID: 9032564331 Enrollment ID: I20231005003294 |
| Provider Name | Brooke Alex Hollars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235963786 PECOS PAC ID: 9032641998 Enrollment ID: I20241016002801 |
| Provider Name | Laura Gene Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083443527 PECOS PAC ID: 0749712313 Enrollment ID: I20241022003791 |
Community Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2959 Us Highway 275, Hamburg, IA 51640 Phone: 712-382-1515 Fax: 712-382-2023 | |
Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 |