| Primary Health Care, Inc. | |
|
101 Iowa Ave W Ste 102 Marshalltown IA 50158-4768 | |
| (641) 753-4021 | |
| (641) 753-4025 |
| Full Name | Primary Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Iowa Ave W, Marshalltown, Iowa |
| Authorized Official Name and Position | Kelly Huntsman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5152481441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care, Inc. 1200 University Ave Suite 200 Des Moines IA 50314-2355 Ph: (515) 248-1447 | Primary Health Care, Inc. 101 Iowa Ave W Ste 102 Marshalltown IA 50158-4768 Ph: (641) 753-4021 |
| NPI Number | 1982753273 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 8426966755 |
|---|---|
| Medicare Enrollment ID | O20030808000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982753273 | NPI | - | NPPES |
| 43894 | Other | IA | WELLMARK BCBS |
| 0268888 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | NA (Iowa) | Primary |
Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Iowa Ave W, Ste 102, Marshalltown, IA 50158 Phone: 641-753-4021 Fax: 641-753-4025 | |
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