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2ND STREET CLINIC NPI 1326215666


NPI Information

NPI: 1326215666
Provider Name: 2ND STREET CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
101 E MARION ST
SIGOURNEY, IA
ZIP 52591
Phone: (641) 622-9133
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2ND STREET CLINIC is a family nurse practitioner in Sigourney, IA. 2ND STREET CLINIC NPI is 1326215666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 E MARION ST
SIGOURNEY, IA
ZIP 52591-443
Phone: (641) 622-9133

The provider's authorized official is Carol Marie Schmidt .
The authorized official title is Owner and has the following contact phone number (641) 622-9133.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.


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
1363LF0000XNurse PractitionerFamilyYes

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
18648MEDICARE PINIOWA

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
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