Adel Family Medical Center PC
Organization Active NPI Family Medicine Physician · Adel, IA
NPI 1366497257 · NPPES record last updated Jun 11, 2008
Key facts
- NPI
- 1366497257
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADEL FAMILY MEDICAL CENTER PC
- Practice address
- 1120 Greene St
Adel, IA 50003-1712 - Phone
- (515) 993-4656
- Fax
- (515) 883-4532
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Louise Donahue, DO
- Title
- President and Ceo
- Phone
- (515) 237-3974
Practitioners 1
-
Susan Louise Donahue, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | IA | Yes | |
| Physician Assistant |
363A00000X | IA |
Addresses
Primary practice location
1120 Greene St
Adel, IA 50003-1712
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0282764 | Medicaid | IA |
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All providers in Adel, 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 Jun 11, 2008. 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.