Decatur Medical Services, PC
Family Medicine in Lamoni, IA. Organization (NPI-2).
NPI number1104895044
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104895044
- Entity type
- Organization (NPI-2)
- Legal business name
- Decatur Medical Services, PC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 02206 | IA | Yes |
Practice location
802 Ackerly StLamoni, IA 50140-1544
Phone 641-784-3371 · Fax 641-784-6162
Mailing address
802 Ackerly StLamoni, IA 50140-1544
Phone 641-784-3371 · Fax 641-784-6162
Authorized official
Mark E Easter
Vice President
6417843371
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