MEDICARE: ABCM CORPORATION

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
1	314000000X	Skilled Nursing Facility	570963	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	65333	OTHER	IA	WELLMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235131780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABCM CORPORATION

Provider Business Mailing Address
First Line	:	1320 4TH ST NE
Second Line	:
City	:	HAMPTON
State	:	IA
Zip	:	50441-1104
Country	:	US
Telephone Number	:	641-456-5636
Fax Number	:	641-456-2320

Provider Business Practice Location Address
First Line	:	215 HIGHWAY 30 SW
Second Line	:
City	:	MOUNT VERNON
State	:	IA
Zip	:	52314-1561
Country	:	US
Telephone Number	:	319-895-8891
Fax Number	:	319-895-6703

Authorized Official
Title or Position	:	CEO
Name	:	RICHARD ALLBEE
Credential	:
Telephone Number	:	641-456-5636

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	09/15/2011

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Directions to “ABCM CORPORATION ” Practice Location

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