Medical Clinic Pc

LBN: Medical Clinic Pc
Medical Clinic Pc is an health care organization with primary practice located at 1219 Main St , Hamburg IA 51640-1300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Medical Clinic Pc can be contacted via phone (712) 382-2626, or through Largen, Thomas Homer via phone (712) 382-2626.

Contact Information

Primary practice address
1219 Main St Hamburg IA 51640-1300
Phone: (712) 382-2626
Fax: (712) 382-1931
Website:
Map and Directions
Authorized official contact:
Name: Largen, Thomas Homer Doctor of Medicine (MD)
Phone: (712) 382-2626

Health care specialties

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

Profile Details

NPI number 1972575595
LBN Legal business name Medical Clinic Pc
DBA Doing business as
Authorized official Largen, Thomas Homer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 29th, 2007 - about 17 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 1972575595 NPPES
Other 01850 WELLMARK BC/BS OF IA
MEDICAID 0018507 WELLMARK BC/BS OF IA

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