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NPI Code Detail

MEDICARE: USA HEALTHCARE FORT DODGE

MEDICARE: USA HEALTHCARE FORT DODGE
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
1314000000XSkilled Nursing Facility940900IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
165156OTHERIABCBS PROV #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164429775
Entity Type Code : Organization
Provider Name (Legal Business Name) : USA HEALTHCARE FORT DODGE
Provider Business Mailing Address
First Line : 728 14TH AVE N
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-7016
Country : US
Telephone Number : 515-576-7226
Fax Number : 515-573-2865
Provider Business Practice Location Address
First Line : 728 14TH AVE N
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-7016
Country : US
Telephone Number : 515-576-7226
Fax Number : 515-573-2865
Authorized Official
Title or Position : BOOKKEEPER
Name : MRS. STEPHANIE STEWART
Credential :
Telephone Number : 515-576-7226
Provider Enumeration Date : 06/29/2005
Last Update Date : 09/13/2007

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Directions to “USA HEALTHCARE FORT DODGE ” Practice Location

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