| Mercyone Clear Lake Family Medicine | |
|
1410 6th Ave S Clear Lake IA 50428-2606 | |
| (641) 357-2191 | |
| (641) 357-6020 |
| Full Name | Mercyone Clear Lake Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1410 6th Ave S, Clear Lake, Iowa |
| Authorized Official Name and Position | Danette A Zook (VP FIANANCE) |
| Authorized Official Contact | 6414287989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Clear Lake Family Medicine 621 S Illinois Ave Suite 103 Mason City IA 50401-5489 Ph: (641) 494-3041 | Mercyone Clear Lake Family Medicine 1410 6th Ave S Clear Lake IA 50428-2606 Ph: (641) 357-2191 |
| NPI Number | 1790895654 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790895654 | NPI | - | NPPES |
| 0223032 | Medicaid | IA | |
| 16995 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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