Organization
FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EARL HICKS M.D. (PARTNER)
(712) 754-3658
Entity
Organization
Contact information
Practice address
600 9TH AVE N, SIBLEY, IA 51249-1012
(712) 754-3658
(712) 754-2634
Mailing address
600 9TH AVE N, PO BOX 277, SIBLEY, IA 51249-1012
(712) 754-3658
(712) 754-2634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02096
IA
207Q00000X
Family Medicine Physician
02364
IA
207Q00000X
Family Medicine Physician
Primary
18374
IA
207Q00000X
Family Medicine Physician
18381
IA
207Q00000X
Family Medicine Physician
3511
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
18374
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
18374
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087106
—
IA
01
—
115341
MINNESOTA UCARE
MN
05
—
626810200
—
MN
Enumeration date
07/11/2005
Last updated
07/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us