Organization
TOWNLINE MEDICAL CLINIC LLC
Active
Other names
d/b/a Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL JEAN JOHNSON NP-BC. (OWNER/SOLE MEMBER)
(515) 423-4685
Entity
Organization
Contact information
Practice address
1332 E MAIN ST, LAMONI, IA 50140-6311
(641) 784-7526
(641) 784-7526
Mailing address
1332 E MAIN ST, LAMONI, IA 50140-6311
(641) 784-7526
(641) 784-7527
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A92500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811310733
BCBS
IA
05
—
1811310733
—
IA
Enumeration date
01/29/2014
Last updated
06/16/2015
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