Provider Demographics
NPI:1871671917
Name:MCFARLAND CLINIC, PC
Entity Type:Organization
Organization Name:MCFARLAND CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC DR 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 1:1128 DUFF AVE
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:515-239-4460
Mailing Address - Fax:515-956-4145
Practice Address - Street 1:1128 DUFF AVE
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:515-239-4460
Practice Address - Fax:515-956-4145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0376530003Medicare NSC