Individual
TINA MARIA MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 E 5TH ST, LAKE PARK, IA 51347-7745
(712) 832-3888
Mailing address
206 E 5TH ST, P.O. BOX 504, LAKE PARK, IA 51347-7745
(712) 832-3888
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191551
MEDICAID PROVIDER NUMBER
IA
Enumeration date
09/07/2007
Last updated
09/07/2007
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