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NPI Code Detail

MEDICARE: FAMILY MEDICINE ASSOCIATES PC

MEDICARE: FAMILY MEDICINE ASSOCIATES PC
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
1207Q00000XFamily Medicine PhysicianIA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
214482OTHERIABILLING NUMBER

General Provider Information

NPI Number : 1972671493
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY MEDICINE ASSOCIATES PC
Provider Business Mailing Address
First Line : 101 SOUTH WASHINGTON
Second Line :
City : EDGEWOOD
State : IA
Zip : 52042
Country : US
Telephone Number : 563-928-6435
Fax Number :
Provider Business Practice Location Address
First Line : 101 SOUTH WASHINGTON
Second Line :
City : EDGEWOOD
State : IA
Zip : 52042
Country : US
Telephone Number : 563-928-6435
Fax Number :
Authorized Official
Title or Position : CLINIC MANAGER
Name : MRS. LINDA LEE AULWES
Credential :
Telephone Number : 563-252-2141
Provider Enumeration Date : 12/01/2006
Last Update Date : 06/20/2008

Similar Medicare Providers

1518952670 — CITY OF EDGEWOOD
Practice Location Address:
39245 LITTLEPORT RD
EDGEWOOD, IA
52042-8210
Practice Phone: 563-928-7399
Practice Fax:
1497715494 — EDGEWOOD CONVALESCENT HOME, INC.
Practice Location Address:
513 BELL ST
EDGEWOOD, IA
52042-0039
Practice Phone: 563-928-6461
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1871662163 — DELAWARE COUNTY MEMORIAL HOSPITAL
Practice Location Address:
702 W UNION ST
EDGEWOOD, IA
52042-8187
Practice Phone: 563-928-7191
Practice Fax: 563-928-7090
1497805691 — EDGEWOOD-COLESBURG COMMUNITY SCHOOL DISTRICT
Practice Location Address:
403 WEST UNION
EDGEWOOD, IA
52042-0316
Practice Phone: 563-928-6411
Practice Fax: 563-928-6414
1306064639 — EDGEWOOD CONVALESCENT HOME INC
Practice Location Address:
302 W LINCOLN
EDGEWOOD, IA
52042-0039
Practice Phone: 563-928-7173
Practice Fax: 563-928-6462
1215155544 — EDGEWOOD CONVALESCENT HOME INC
Practice Location Address:
513 BELL ST
EDGEWOOD, IA
52042-0039
Practice Phone: 563-928-6461
Practice Fax: 563-928-6462

Directions to “FAMILY MEDICINE ASSOCIATES PC ” Practice Location

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