Family Medicine Clinic

LBN: Family Medicine Clinic
Family Medicine Clinic is an health care organization with primary practice located at 600 9Th Ave N , Sibley IA 51249-1012. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Family Medicine Clinic can be contacted via phone (712) 754-3658, or through Hicks, William Earl via phone (712) 754-3658.

Contact Information

Primary practice address
600 9Th Ave N Sibley IA 51249-1012
Phone: (712) 754-3658
Fax: (712) 754-2634
Website:
Map and Directions
Authorized official contact:
Name: Hicks, William Earl Doctor of Medicine (MD)
Phone: (712) 754-3658

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18374 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18381 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02364 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02096 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3511 Iowa
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 18374 Iowa
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 18374 Iowa

Profile Details

NPI number 1124026489
LBN Legal business name Family Medicine Clinic
DBA Doing business as
Authorized official Hicks, William Earl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124026489 NPPES
Iowa MEDICAID 0087106
Iowa MEDICAID 626810200
Iowa Other 115341

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