# BFM KEOKUK CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BFM DBA Keokuk Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447628540
- **Authorized official:** MATT MULLINS (MANAGER)
- **Authorized official phone:** (319) 376-1149

## Contact information

- **Practice address:** 1414 MAIN ST, KEOKUK, IA 52632-3926
- **Practice address phone:** (319) 376-1149
- **Mailing address:** 1414 MAIN ST, KEOKUK, IA 52632-3926
- **Mailing address phone:** (319) 376-1149

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2015
- **Last updated:** 09/24/2015