| Methodist Physicians Clinic | |
|
1400 Senate Ave Suite # 105 Red Oak IA 51566-1271 | |
| (712) 623-7250 | |
| (712) 623-7257 |
| Full Name | Methodist Physicians Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Senate Ave, Red Oak, Iowa |
| Authorized Official Name and Position | Todd D. Grages (PRESIDENT) |
| Authorized Official Contact | 4023545601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Physicians Clinic 8601 W Dodge Rd Suite # 216 Omaha NE 68114-3457 Ph: (402) 354-4822 | Methodist Physicians Clinic 1400 Senate Ave Suite # 105 Red Oak IA 51566-1271 Ph: (712) 623-7250 |
| NPI Number | 1942408117 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942408117 | NPI | - | NPPES |
| 0415257 | Medicaid | IA | |
| 42585 | Other | IA | BCBS-IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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