| NPI | 1508481243 |
|---|---|
| Doing Business As | VAN DIEST FAMILY HEALTH CLINIC OF FORT DODGE |
| Entity Type | Organization |
| Authorized Contact | ALICE ANN HEINRICHS CFO 515-832-9400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QR1300X Clinic/Center, Rural Health | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2021-04-09 |