Family Medicine Clinic
Organization Active NPI Family Medicine Physician · Sibley, IA
NPI 1124026489 · NPPES record last updated Jul 23, 2009
Key facts
- NPI
- 1124026489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 18374 (IA)
- Legal business name
- FAMILY MEDICINE CLINIC
- Practice address
- 600 9TH Ave N
Sibley, IA 51249-1012 - Phone
- (712) 754-3658
- Fax
- (712) 754-2634
- NPI assigned
- Jul 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. William Earl Hicks, M.D.
- Title
- Partner
- Phone
- (712) 754-3658
Practitioners 1
-
Scott Rodney Helmers, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 18374 | IA | Yes |
| Family Medicine Physician |
207Q00000X | 18381 | IA | |
| Family Medicine Physician |
207Q00000X | 02364 | IA | |
| Family Medicine Physician |
207Q00000X | 02096 | IA | |
| Family Medicine Physician |
207Q00000X | 3511 | IA | |
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X | 18374 | IA | |
| Sports Medicine (Family Medicine) Physician |
207QS0010X | 18374 | IA |
Addresses
Primary practice location
600 9TH Ave N
Sibley, IA 51249-1012
Mailing address
600 9TH Ave N
PO Box 277
Sibley, IA 51249-1012
Phone (712) 754-3658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087106 | Medicaid | IA | |
| 626810200 | Medicaid | MN | |
| 115341 | Other | MN | MINNESOTA UCARE |
Other providers in Sibley, IA
- Country View Manor Inc
- County of Osceola
- Laura De Kruyf
- Reegan Natalie Delzer
- Eberechi Cornelia Ekechukwu
- Family Medicine Clinic
- Friendly Dental
- Michaela Marie Hertz
- Interconnections Therapy LLC
- Iowa Lakes Orthopaedics, PC
All providers in Sibley, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2009. 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.