MEDICARE: AFFORDABLE HEALTHCARE P.C.

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	261QH0100X	Health Service Clinic/Center	F087220	IA

General Provider Information

NPI Number	:	1710330196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE HEALTHCARE P.C.

Provider Business Mailing Address
First Line	:	3343 CENTER GROVE DR
Second Line	:	SUITE H
City	:	DUBUQUE
State	:	IA
Zip	:	52003-5264
Country	:	US
Telephone Number	:	563-582-1000
Fax Number	:	563-582-1113

Provider Business Practice Location Address
First Line	:	3343 CENTER GROVE DR
Second Line	:	SUITE H
City	:	DUBUQUE
State	:	IA
Zip	:	52003-5264
Country	:	US
Telephone Number	:	563-582-1000
Fax Number	:	563-582-1113

Authorized Official
Title or Position	:	VP
Name	:	KELLY MCMAHON
Credential	:	ARNP
Telephone Number	:	563-543-5363

Provider Enumeration Date	:	07/20/2016
Last Update Date	:	07/20/2016

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