| North Central Occupational Medicine & Walk In Clinic,pllc | |
|
30 N 27th St Fort Dodge IA 50501-4331 | |
| (713) 358-3054 | |
| Not Available |
| Full Name | North Central Occupational Medicine & Walk In Clinic,pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 N 27th St, Fort Dodge, Iowa |
| Authorized Official Name and Position | Morgan Flaherty Flaherty (OWNER) |
| Authorized Official Contact | 7123583054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Occupational Medicine & Walk In Clinic,pllc 30 N 27th St Fort Dodge IA 50501-4331 Ph: (713) 358-3054 | North Central Occupational Medicine & Walk In Clinic,pllc 30 N 27th St Fort Dodge IA 50501-4331 Ph: (713) 358-3054 |
| NPI Number | 1043912330 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 6709249410 |
|---|---|
| Medicare Enrollment ID | O20230829001812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043912330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Morgan Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679027361 PECOS PAC ID: 1153686936 Enrollment ID: I20180525002068 |
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