| Iowa Physicians Clinic Medical Foundation | |
|
400 Canton St Nw Ste B Shellsburg IA 52332-9645 | |
| (319) 436-2040 | |
| (319) 436-2027 |
| Full Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 400 Canton St Nw, Shellsburg, Iowa |
| Authorized Official Name and Position | Erick J Laine (COO) |
| Authorized Official Contact | 5154719227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Physicians Clinic Medical Foundation 8101 Birchwood Court Suite R Johnston IA 50131-2930 Ph: (515) 471-9243 | Iowa Physicians Clinic Medical Foundation 400 Canton St Nw Ste B Shellsburg IA 52332-9645 Ph: (319) 436-2040 |
| NPI Number | 1245288661 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245288661 | NPI | - | NPPES |
| 0689083 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St Luke's Jones Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St Nw, Shellsburg, IA 52332 Phone: 319-436-2040 Fax: 319-436-2027 | |
Iowa Physicians Clinic Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main Street Nw, Shellsburg, IA 52332 Phone: 319-436-2040 Fax: 319-436-2027 |