IDA GROVE FAMILY HEALTH CENTER PLLC; NPI #1518111657

Contact Information

IDA GROVE FAMILY HEALTH CENTER PLLC

101 2ND ST
IDA GROVE, IA 51445-1401

Phone: 712-364-2300
Fax: 712-364-2881
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for IDA GROVE FAMILY HEALTH CENTER PLLC

NPI # 1518111657

LBN Legal business name IDA GROVE FAMILY HEALTH CENTER PLLC

Authorized official MICHAEL LUFT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/14/2008

Last updated 10/04/2013 - About 13 years ago

Identifiers

License #

03156

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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IDA GROVE FAMILY HEALTH CENTER PLLC

Contact Information

Specialty

Primary Care

NPI Profile & details for IDA GROVE FAMILY HEALTH CENTER PLLC

Reviews for IDA GROVE FAMILY HEALTH CENTER PLLC