Provider Demographics
NPI:1962970004
Name:MCFARLAND CLINIC, PC
Entity type:Organization
Organization Name:MCFARLAND CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIR. CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEB
Authorized Official - Middle Name:ODEIN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-239-4452
Mailing Address - Street 1:1215 DUFF AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-5469
Mailing Address - Country:US
Mailing Address - Phone:515-239-4401
Mailing Address - Fax:515-239-4791
Practice Address - Street 1:1111 DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-5745
Practice Address - Country:US
Practice Address - Phone:515-239-4401
Practice Address - Fax:515-239-4791
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCFARLAND CLINIC, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site