Earlham Medical Clinic

LBN: Madison County Memorial Hospital
Earlham Medical Clinic is an health care organization with primary practice located at 125 W 1St St , Earlham IA 50072-7705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Madison County Memorial Hospital can be contacted via phone (515) 758-2907, or through Hendricks, Marcia L. via phone (515) 462-2373.

Contact Information

Primary practice address
125 W 1St St Earlham IA 50072-7705
Fax: (515) 758-2892
Website:
Authorized official contact:
Name: Hendricks, Marcia L.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1497810097
LBN Legal business name Madison County Memorial Hospital
DBA Doing business as Earlham Medical Clinic
Authorized official Hendricks, Marcia L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 26th, 2006
Last updated Aug 22nd, 2016 - about 8 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 1497810097 NPPES
Iowa MEDICAID 0634931
Iowa Other 63486

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