| Patrick J Cogley Pc | |
|
210 4th Ave Grinnell IA 50112-0780 | |
| (641) 236-2500 | |
| (641) 236-2539 |
| Full Name | Patrick J Cogley Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 4th Ave, Grinnell, Iowa |
| Authorized Official Name and Position | Patrick J Cogley (OWNER/PROVIDER) |
| Authorized Official Contact | 6412362500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Cogley Pc P O Box 780 Grinnell IA 50112-0780 Ph: (641) 236-2500 | Patrick J Cogley Pc 210 4th Ave Grinnell IA 50112-0780 Ph: (641) 236-2500 |
| NPI Number | 1124136494 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124136494 | NPI | - | NPPES |
| 35853 | Other | IA | BCBS PROV # |
| 6250597 | Medicaid | IA | |
| P00060875 | Other | IA | RR MEDICARE # |
| 0414755 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34265 (Iowa) | Primary |
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