Organization
WAYNE FAMILY MEDICAL CENTER, INC.
Active
Other names
South Central Iowa Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JANE RUPE (OFFICE MANAGER)
(641) 872-2063
Entity
Organization
Contact information
Practice address
417 S EAST ST, SUITE #100, CORYDON, IA 50060-1860
(641) 872-2063
(641) 872-2070
Mailing address
PO BOX 365, CORYDON, IA 50060-0365
(641) 872-2063
(641) 872-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070342
—
IA
01
—
03040
BC/BS GROUP NUMBER
IA
01
—
CI4009
R.R. MCARE
IA
Enumeration date
10/03/2006
Last updated
03/18/2011
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