Healthcare Provider Details
I. General information
NPI: 1639135643
Provider Name (Legal Business Name): MCFARLAND CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2006
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1215 DUFF AVENUE
AMES IA
50010-3014
US
IV. Provider business mailing address
1215 DUFF AVE
AMES IA
50010-5469
US
V. Phone/Fax
- Phone: 515-239-4400
- Fax: 515-239-4446
- Phone: 515-239-4400
- Fax: 515-239-4446
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
M.
PERRY
Title or Position: CEO
Credential:
Phone: 515-239-4452