MEDICARE: PATRICK EDDIE FRANJE LISW

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	104100000X	Social Worker	00915	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	800009681	OTHER	IA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42068106069	OTHER	IA	JOHN DEERE HEALTH
3	48694	OTHER	IA	WELLMARK, INC BCBS
4	I006	OTHER	IA	TRIWEST
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	145825	OTHER	IA	HEALTH SOLUTIONS
7	42068106069	OTHER	IA	UNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1902899511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK EDDIE FRANJE LISW

Provider Business Mailing Address
First Line	:	1229 C AVE E
Second Line	:
City	:	OSKALOOSA
State	:	IA
Zip	:	52577-4246
Country	:	US
Telephone Number	:	641-672-3159
Fax Number	:	641-672-3259

Provider Business Practice Location Address
First Line	:	312 E ALTA VISTA AVE
Second Line	:
City	:	OTTUMWA
State	:	IA
Zip	:	52501-1413
Country	:	US
Telephone Number	:	641-684-3138
Fax Number	:	641-684-3198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	01/09/2017

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Directions to “ PATRICK EDDIE FRANJE LISW” Practice Location

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