Organization
DUTCH MILL CORPORATION
Active
Organization
DUTCH MILL CORPORATION
Active
Other names
DUTCH MILL CLINIC PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT PLENDER (CO-OWNER)
(712) 737-4844
Entity
Organization
Contact information
Practice address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1836
(712) 737-5347
(712) 737-5348
Mailing address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1836
(712) 737-5347
(712) 737-5348
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1290
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488445
—
IA
01
—
1622530
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/29/2006
Last updated
10/18/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up