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NPI Code Detail

MEDICARE: PATTON FAMILY HEALTH CENTER PLLC

MEDICARE: PATTON FAMILY HEALTH CENTER PLLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA086807IA

General Provider Information

NPI Number : 1124344932
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATTON FAMILY HEALTH CENTER PLLC
Provider Business Mailing Address
First Line : PO BOX 40
Second Line : PATTON FAMILY HEALTH CENTER
City : WEST BRANCH
State : IA
Zip : 52358-0040
Country : US
Telephone Number : 319-643-3462
Fax Number : 316-643-3467
Provider Business Practice Location Address
First Line : 116 N 1ST ST
Second Line :
City : WEST BRANCH
State : IA
Zip : 52358-9663
Country : US
Telephone Number : 319-643-3462
Fax Number : 319-643-3467
Authorized Official
Title or Position : CEO
Name : EMILY D PATTON
Credential : ARNP
Telephone Number : 319-643-3462
Provider Enumeration Date : 04/19/2010
Last Update Date : 05/01/2014

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Directions to “PATTON FAMILY HEALTH CENTER PLLC ” Practice Location

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