Organization
PHYSICIANS CLINIC, INC.
Active
Parent organization
METHODIST HEALTH SYSTEM
Other names
Methodist Physicians Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST HEALTH SYSTEM
Authorized official
TODD D. GRAGES (PRESIDENT)
(402) 354-5609
Entity
Organization
Contact information
Practice address
713 MAIN ST, TABOR, IA 51653-2031
(712) 527-5204
(712) 527-9346
Mailing address
8601 W DODGE RD, SUITE #216, OMAHA, NE 68114-3457
(402) 354-5451
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
03/18/2010
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