Provider Demographics
NPI:1629120977
Name:ADEL FAMILY PRACTICE INC.
Entity Type:Organization
Organization Name:ADEL FAMILY PRACTICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:BARGER
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:515-993-1099
Mailing Address - Street 1:309 S 7TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-1838
Mailing Address - Country:US
Mailing Address - Phone:515-993-1099
Mailing Address - Fax:515-993-1105
Practice Address - Street 1:309 S 7TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-1838
Practice Address - Country:US
Practice Address - Phone:515-993-1099
Practice Address - Fax:515-993-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DA0862OtherRAILROAD MEDICARE
IA0275982Medicaid
IA59138OtherWELLMARK BLUE CROSS
IA0275982Medicaid