NPI: 1164989174 · DUBUQUE, IA 52003 · Primary Care Clinic/Center · NPI assigned 02/26/2019
| Authorized Official | MCMAHON, KELLY (CEO) |
| NPI Enumeration Date | 02/26/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $440.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 13 | 12 | $440.00 |