Organization
MADRID FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAELA KIENITZ (CEO)
(515) 432-3140
Entity
Organization
Contact information
Practice address
623 W NORTH ST, MADRID, IA 50156-1023
(515) 795-4300
(515) 433-8905
Mailing address
623 W NORTH ST, MADRID, IA 50156-1023
(515) 795-4300
(515) 433-8905
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
IA
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
10/10/2023
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