Organization Name: | REDFIELD MEDICAL CLINIC |
NPI Number: | 1194737254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD B. FRIEDMANN (ADMINISTRATOR) |
Mailing Address: | 1013 1st St Redfield |
State: | IA US |
Postal Code: | 502331007 |
Phone Number: | 5158332301 |
Fax Number: | 5158332108 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |