Healthcare Provider Details
I. General information
NPI: 1528165891
Provider Name (Legal Business Name): NORTH KOSSUTH MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 3RD ST N BOX 296
SWEA CITY IA
50590-1095
US
IV. Provider business mailing address
1914 IRVINGTON RD
ALGONA IA
50511-8500
US
V. Phone/Fax
- Phone: 515-272-4499
- Fax: 515-295-7908
- Phone: 515-272-4499
- Fax: 515-295-7908
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 29211 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 29211 |
| License Number State | IA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 883 |
| License Number State | IA |
VIII. Authorized Official
Name: DR.
ALAN
DAVID
SCHER
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 515-272-4499