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122 First Street Sw Hopkinton IA 52237 | |
(563) 926-2922 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 122 First Street Sw, Hopkinton, Iowa |
Authorized Official Name and Position | Lon Butikofer (CEO) |
Authorized Official Contact | 5639277308 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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709 W Main St Po Box 359 Manchester IA 52057-0359 Ph: (563) 927-3232 | 122 First Street Sw Hopkinton IA 52237 Ph: (563) 926-2922 |
NPI Number | 1497824353 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 04/09/2015 |
Medicare PECOS PAC ID | 2062316375 |
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Medicare Enrollment ID | O20090601000250 |
Identifier | Type | State | Issuer |
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1497824353 | NPI | - | NPPES |
0638841 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |