Healthcare Provider Details

I. General information

NPI: 1033039599
Provider Name (Legal Business Name): REDFIELD MEDICAL CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 1ST ST
REDFIELD IA
50233-1007
US

IV. Provider business mailing address

1013 1ST STREET BOX C
REDFIELD IA
50233-1007
US

V. Phone/Fax

Practice location:
  • Phone: 515-833-2301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD FRIEDMANN JR.
Title or Position: MEMBER/OWNER/PROVIDER
Credential:
Phone: 515-833-2301