# WAYNE FAMILY MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Central Iowa Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861586810
- **Authorized official:** JULIE JANE RUPE (OFFICE MANAGER)
- **Authorized official phone:** (641) 872-2063

## Contact information

- **Practice address:** 417 S EAST ST, SUITE \#100, CORYDON, IA 50060-1860
- **Practice address phone:** (641) 872-2063
- **Practice address fax:** (641) 872-2070
- **Mailing address:** PO BOX 365, CORYDON, IA 50060-0365
- **Mailing address phone:** (641) 872-2063
- **Mailing address fax:** (641) 872-2070

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/18/2011