Methodist Physicians Clinic

LBN: Physicians Clinic, Inc.
Methodist Physicians Clinic is an health care organization with primary practice located at 1400 Senate Ave Suite # 105, Red Oak IA 51566-1271. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Physicians Clinic, Inc. can be contacted via phone (712) 623-7250, or through Grages, Todd D. via phone (402) 354-5601.

Contact Information

Primary practice address
1400 Senate Ave Suite # 105 Red Oak IA 51566-1271
Phone: (712) 623-7250
Fax: (712) 623-7257
Website:
Map and Directions
Authorized official contact:
Name: Grages, Todd D.
Phone: (402) 354-5601

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1942408117
LBN Legal business name Physicians Clinic, Inc.
DBA Doing business as Methodist Physicians Clinic
Authorized official Grages, Todd D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1942408117 NPPES
Iowa MEDICAID 0415257
Iowa Other 42585

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