# PHYSICIANS CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Methodist Physicians Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942408117
- **Authorized official:** MR. TODD D. GRAGES (PRESIDENT)
- **Authorized official phone:** (402) 354-5601

## Contact information

- **Practice address:** 1400 SENATE AVE, SUITE \# 105, RED OAK, IA 51566-1271
- **Practice address phone:** (712) 623-7250
- **Practice address fax:** (712) 623-7257
- **Mailing address:** 8601 W DODGE RD, SUITE \# 216, OMAHA, NE 68114-3457
- **Mailing address phone:** (402) 354-4822
- **Mailing address fax:** (402) 354-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 08/22/2020