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240 North Rerick Ave Primghar IA 51245 | |
(712) 957-2310 | |
(712) 957-0504 |
Full Name | |
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Speciality | Clinic/Center |
Location | 240 North Rerick Ave, Primghar, Iowa |
Authorized Official Name and Position | Andrew Schierholz (BOARD PRESIDENT) |
Authorized Official Contact | 7123631075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 477 Primghar IA 51245-7786 Ph: (712) 957-2310 | 240 North Rerick Ave Primghar IA 51245 Ph: (712) 957-2310 |
NPI Number | 1306880570 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 02/24/2020 |
Medicare PECOS PAC ID | 0446154033 |
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Medicare Enrollment ID | O20041104001085 |
Identifier | Type | State | Issuer |
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1306880570 | NPI | - | NPPES |
0634980 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |