Mary'S Care Memorial Clinic
Organization Active NPI Primary Care Clinic/Center · Wall Lake, IA
NPI 1033736871 · NPPES record last updated Jun 27, 2020
Key facts
- NPI
- 1033736871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- MARY'S CARE MEMORIAL CLINIC
- Practice address
- 210 W 1St St
Wall Lake, IA 51466-7726 - Phone
- (712) 790-6033
- NPI assigned
- Jun 27, 2020
- Organization subpart
- No
Authorized official
- Name
- Karen Phillips
- Title
- Credentialer
- Phone
- (712) 830-4728
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
210 W 1St St
Wall Lake, IA 51466-7726
Mailing address
PO Box 181
Wall Lake, IA 51466-0181
Phone (712) 790-6033
Other providers in Wall Lake, IA
- Amanda Buse
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- Megan Arlene Drost
- Brooke Nordquist
- St Anthony Wall Lake Pharmacy
- Twilight Acres Inc.
- Jennifer Fanchon Vondrak
All providers in Wall Lake, IA · Primary Care Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.