Provider Demographics
NPI:1508940149
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:MR
Authorized Official - First Name:JEB
Authorized Official - Middle Name:O
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-663-8663
Mailing Address - Street 1:3600 WEST LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-663-4888
Mailing Address - Fax:515-956-4199
Practice Address - Street 1:3600 WEST LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-663-4888
Practice Address - Fax:515-956-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0376530007Medicare NSC