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Contact Information

CHARLES F EDDINGFIELD MD
1610 MORGAN STREET
KEOKUK, IA52632
 Phone: 319-524-7777
 Fax: 319-524-7782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CHARLES F EDDINGFIELD MD

NPI # 1639250293
LBN Legal business name CHARLES F EDDINGFIELD MD
Authorized official CHARLES EDDINGFIELD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # 18836
IA Medicaid 0089458
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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