T L Sprague Do Pc in Audubon - Primary Care
T L Sprague Do Pc - NPI 1316998289
T L Sprague Do Pc is a Primary Care in Audubon, Iowa. T L Sprague Do Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for T L Sprague Do Pc is 1316998289. The last update date is 2008-01-18.
T L Sprague Do Pc's current location address is 222 Broadway, Audubon, Iowa. You can contact this provider via phone number 7125634206 and fax number 7125632001. The mailing address for T L Sprague Do Pc is 222 Broadway, Audubon, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | T L Sprague Do Pc |
|---|---|
| Address | 222 Broadway, Audubon, Iowa |
| Phone Number | 7125634206 |
| Fax Number | 7125632001 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sprague L Terry |
| Credentials | DO |
| Telephone Number | 7125634206 |
NPI Number Detail
| NPI Number | 1316998289 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2008-01-18 |
Provider Mailing Address Detail
| Address | 222 Broadway |
|---|---|
| City | Audubon |
| State | Iowa (IA) |
| Post Code | 500251199 |
| Phone Number | 7125634206 |
| Fax Number | 7125632001 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| I3936 | IA | MEDICARE B GROUP # | |
| 638536 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to T L Sprague Do Pc by the Centers for Medicare & Medicaid Services (CMS)?
The T L Sprague Do Pc has been assigned the NPI (National Provider Identifier) 1316998289. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the T L Sprague Do Pc's physical address?
The T L Sprague Do Pc is physically located at 222 Broadway, in the city of Audubon, IA, with the postal code 500251199.
What is T L Sprague Do Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The T L Sprague Do Pc's specialized field of practice is Primary Care, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp2300X.
On what date did the T L Sprague Do Pc receive the assignment of its 1316998289 from the Centers for Medicare & Medicaid Services?
The T L Sprague Do Pc was issued its 1316998289 by the Centers for Medicare & Medicaid Services on 2006-05-15.
When was the information regarding T L Sprague Do Pc most recently updated?
The details pertaining to the T L Sprague Do Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-01-18.