NPI 1245415470

Madison Square Assisted Living

Organisation Preferred Provider Organization Winterset, IA

Practice location

Address: 209 W Jefferson St, Winterset, IA 50273-1676
Phone: (515) 462-5087
Fax: (515) 462-9058

Authorised official

Name: Stanley Birchem
Title: President/Owner
Phone: (515) 462-5087

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence S0080 (IA)

Other Preferred Provider Organization providers in Iowa →

Registry record

NPI: 1245415470
Entity type: Organization
NPI issued: 7 Jan 2008
Record last updated: 7 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.