# MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAL CLINIC P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124218706
- **Authorized official:** CRISTIN A HENDRICKSON (CEO)
- **Authorized official phone:** (712) 382-1515

## Contact information

- **Practice address:** 1219 MAIN ST, HAMBURG, IA 51640-1300
- **Practice address phone:** (712) 382-2626
- **Mailing address:** 1219 MAIN ST, HAMBURG, IA 51640-1300
- **Mailing address phone:** (712) 382-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 08/12/2024