FREDERICKSBURG FAMILY HEALTH CLINIC, PLLC; NPI #1548596927

Contact Information

FREDERICKSBURG FAMILY HEALTH CLINIC, PLLC

115 SCHULT RIDGE RD
FREDERICKSBURG, IA 50630-9582

Phone: 563-237-5316
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for FREDERICKSBURG FAMILY HEALTH CLINIC, PLLC

NPI Number 1548596927

LBN Legal business name FREDERICKSBURG FAMILY HEALTH CLINIC, PLLC

Authorized official LUCAS BRINKMAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/20/2009

Last updated 10/20/2009 - About 17 years ago

Identifiers

IA	License #	3824
IA	Medicaid	0130401

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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FREDERICKSBURG FAMILY HEALTH CLINIC, PLLC

Contact Information

Specialty

Primary Care

NPI Profile & details for FREDERICKSBURG FAMILY HEALTH CLINIC, PLLC

Reviews for FREDERICKSBURG FAMILY HEALTH CLINIC, PLLC