Basic Information
Provider Information
NPI: 1639135643
EntityType: 2
ReplacementNPI:  
OrganizationName: MCFARLAND CLINIC PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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Mailing Information
Address1: 1215 DUFF AVE
Address2:  
City: AMES
State: IA
PostalCode: 500105469
CountryCode: US
TelephoneNumber: 5152394400
FaxNumber: 5152394446
Practice Location
Address1: 1215 DUFF AVENUE
Address2:  
City: AMES
State: IA
PostalCode: 500103014
CountryCode: US
TelephoneNumber: 5152394400
FaxNumber: 5152394446
Other Information
ProviderEnumerationDate: 04/26/2006
LastUpdateDate: 08/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PERRY
AuthorizedOfficialFirstName: ANDREW
AuthorizedOfficialMiddleName: M.
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 5152394452
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM1300X  Y Ambulatory Health Care FacilitiesClinic/CenterMulti-Specialty

No ID Information.


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