Family Medicine Clinic in Sibley - Sports Medicine
Family Medicine Clinic - NPI 1124026489
Family Medicine Clinic is a Sports Medicine in Sibley, Iowa. Family Medicine Clinic practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Family Medicine Clinic is 1124026489. The last update date is 2009-07-23.
Family Medicine Clinic's current location address is 600 9th Ave N, Sibley, Iowa. You can contact this provider via phone number 7127543658 and fax number 7127542634. The mailing address for Family Medicine Clinic is 600 9th Ave N, Sibley, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Medicine Clinic |
|---|---|
| Address | 600 9th Ave N, Sibley, Iowa |
| Phone Number | 7127543658 |
| Fax Number | 7127542634 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Hicks Earl William |
| Credentials | M.D. |
| Telephone Number | 7127543658 |
NPI Number Detail
| NPI Number | 1124026489 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2009-07-23 |
Provider Mailing Address Detail
| Address | 600 9th Ave N |
|---|---|
| City | Sibley |
| State | Iowa (IA) |
| Post Code | 512491012 |
| Phone Number | 7127543658 |
| Fax Number | 7127542634 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 18374 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87106 | IA | -- | |
| 626810200 | MN | -- | |
| 115341 | MN | MINNESOTA UCARE |
Post Comment/ Review Below
Could you provide the complete address where Family Medicine Clinic is physically located?
The Family Medicine Clinic is situated at the following address: 600 9Th Ave N, Sibley, IA 512491012.
What is Family Medicine Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Family Medicine Clinic's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
What is Family Medicine Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Family Medicine Clinic is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qs0010X.
On what date did the Family Medicine Clinic receive the assignment of its 1124026489 from the Centers for Medicare & Medicaid Services?
The Family Medicine Clinic was issued its 1124026489 by the Centers for Medicare & Medicaid Services on 2005-07-11.
As of what date was the information pertaining to Family Medicine Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Family Medicine Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-23.