| Millcreek Family Practice | |
|
5616 460th St Paullina IA 51046-7516 | |
| (712) 448-2000 | |
| (712) 448-2004 |
| Full Name | Millcreek Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 5616 460th St, Paullina, Iowa |
| Authorized Official Name and Position | Martin W Guthmiller (CEO) |
| Authorized Official Contact | 7127375274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millcreek Family Practice 5616 460th St Po Box 360 Paullina IA 51046-7516 Ph: (712) 448-2000 | Millcreek Family Practice 5616 460th St Paullina IA 51046-7516 Ph: (712) 448-2000 |
| NPI Number | 1518932821 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 4688587231 |
|---|---|
| Medicare Enrollment ID | O20100205000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518932821 | NPI | - | NPPES |
| 0634626 | Medicaid | IA | |
| 63462 | Other | IA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Paullina Mercy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 East Groesbeck, Paullina, IA 51046 Phone: 712-949-2126 Fax: 712-949-2129 |