Organization
CHARITON FAMILY MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L HESTON (OPERATIONS MANAGER)
(641) 774-3108
Entity
Organization
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-8103
(641) 774-8087
Mailing address
1200 N 7TH ST, PO BOX 571, CHARITON, IA 50049-1210
(641) 774-8103
(641) 774-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE7847
TRAVELERS MEDICARE
IA
Enumeration date
01/17/2006
Last updated
10/29/2007
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