Audubon Medical Clinic

LBN: T L Sprague Do Pc
Audubon Medical Clinic is an health care organization with primary practice located at 222 Broadway Audubon Medical Clinic, Audubon IA 50025-1199. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. T L Sprague Do Pc can be contacted via phone (712) 563-4206, or through Sprague, Terry L via phone (712) 563-4206.

Contact Information

Primary practice address
222 Broadway Audubon Medical Clinic Audubon IA 50025-1199
Phone: (712) 563-4206
Fax: (712) 563-2001
Website:
Map and Directions
Authorized official contact:
Name: Sprague, Terry L Doctor of Osteopathy (DO)
Phone: (712) 563-4206

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1316998289
LBN Legal business name T L Sprague Do Pc
DBA Doing business as Audubon Medical Clinic
Authorized official Sprague, Terry L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Jan 18th, 2008 - about 16 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 1316998289 NPPES
Iowa Other I3936 MEDICARE B GROUP #
Iowa MEDICAID 0638536 MEDICARE B GROUP #

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