MEDICARE: ABCM CORPORATION

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center
2	253Z00000X	In Home Supportive Care Agency
3	314000000X	Skilled Nursing Facility	030421	IA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	65338	OTHER	IA	WELLMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1639171077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABCM CORPORATION

Provider Business Mailing Address
First Line	:	1320 4TH ST NE
Second Line	:
City	:	HAMPTON
State	:	IA
Zip	:	50441-1104
Country	:	US
Telephone Number	:	641-456-5636
Fax Number	:	641-456-2320

Provider Business Practice Location Address
First Line	:	960 4TH ST NW
Second Line	:
City	:	WAUKON
State	:	IA
Zip	:	52172-1059
Country	:	US
Telephone Number	:	563-568-3493
Fax Number	:	563-568-3494

Authorized Official
Title or Position	:	CEO
Name	:	RICHARD ALLBEE
Credential	:
Telephone Number	:	641-456-5636

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	11/30/2023

1059 3RD AVE NW
WAUKON, IA
52172-1403

Practice Phone: 563-568-3409
Practice Fax: 563-568-2677