Organization
FREDERICKSBURG FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BERNARD PERAUD M.D. (DOCTOR)
(563) 237-5316
Entity
Organization
Contact information
Practice address
115 SCHULT RIDGE RD, FREDERICKSBURG, IA 50630-9582
(563) 237-5316
(563) 237-6337
Mailing address
115 SCHULT RIDGE RD, PO BOX 335, FREDERICKSBURG, IA 50630-9582
(563) 237-5316
(563) 237-6337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130401
—
IA
01
—
13040
BCBS
IA
01
—
16D0384603
CLIA#
IA
01
—
A004550
TRICARE PROV.#
IA
Enumeration date
06/02/2006
Last updated
01/23/2008
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