FAMILY MEDICINE CLINIC NPI 1124026489

NPI Information

NPI: 1124026489
Provider Name: FAMILY MEDICINE CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
600 9TH AVE N
SIBLEY, IA
ZIP 51249
Phone: (712) 754-3658
Get Directions

FAMILY MEDICINE CLINIC is a family medicine in Sibley, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE CLINIC NPI is 1124026489. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 9TH AVE N
SIBLEY, IA
ZIP 51249-012
Phone: (712) 754-3658
Fax: (712) 754-2634

The provider's authorized official is William Earl Hicks .
The authorized official title is Partner and has the following contact phone number (712) 754-3658.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 7/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	18374	IOWA	No
2	207QS0010X	Family Medicine	Sports Medicine	18374	IOWA	No
3	207Q00000X	Family Medicine		18381	IOWA	No
4	207Q00000X	Family Medicine		02364	IOWA	No
5	207Q00000X	Family Medicine		02096	IOWA	No
6	207Q00000X	Family Medicine		3511	IOWA	No
7	207Q00000X	Family Medicine		18374	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	115341	OTHER	MINNESOTA	MINNESOTA UCARE
2	0087106	MEDICAID	IOWA
3	626810200	MEDICAID	MINNESOTA
4	087106	MEDICARE ID-TYPE UNSPECIFIED	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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