Mosaic Medical Center - Maryville

NPI #1205300498 in Bedford, Iowa

Provider Information

NPI Number: 1205300498
Entity Type: Organization
Organization Name: Mosaic Medical Center - Maryville
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Jan 22, 2019
Last Updated: Jun 10, 2019

Practice Location

Address: 408 DODGE ST
City: Bedford
State: Iowa
ZIP Code: 50833-1413
Phone: (712) 523-2738

Authorized Official

Name: DWIGHT R CARVELL
Title: DIRECTOR OF REIMBURSEMENT
Phone: (816) 273-0473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Pediatrics	208000000X
Nurse Practitioner - Family — Family	363LF0000X
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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