| Shenandoah Physicians Clinic-sidney | |
|
802 Illinois St Sidney IA 51652-8028 | |
| (712) 374-6005 | |
| (712) 374-3100 |
| Full Name | Shenandoah Physicians Clinic-sidney |
|---|---|
| Speciality | Clinic/Center |
| Location | 802 Illinois St, Sidney, Iowa |
| Authorized Official Name and Position | Karen S Cole (CEO) |
| Authorized Official Contact | 7122461230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Physicians Clinic-sidney 300 Pershing Ave Shenandoah IA 51601-2355 Ph: (712) 246-1230 | Shenandoah Physicians Clinic-sidney 802 Illinois St Sidney IA 51652-8028 Ph: (712) 374-6005 |
| NPI Number | 1497150825 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Medicare PECOS PAC ID | 9436063237 |
|---|---|
| Medicare Enrollment ID | O20141205001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497150825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 730065H (Iowa) | Primary |
Shenandoah Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 Illinois St, Sidney, IA 51652 Phone: 712-374-6005 Fax: 712-374-2301 | |
Medical Clinic P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 Main St, Sidney, IA 51652 Phone: 712-374-2649 Fax: 712-374-2467 |