Provider Demographics
NPI:1356424147
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 1:1014 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-1826
Mailing Address - Country:US
Mailing Address - Phone:515-382-4626
Mailing Address - Fax:515-382-4979
Practice Address - Street 1:1014 6TH ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-1826
Practice Address - Country:US
Practice Address - Phone:515-382-4626
Practice Address - Fax:515-382-4979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0376530005Medicare NSC