AUDUBON MEDICAL CLINIC – NPI #1316998289
Clinic/Center

AUDUBON MEDICAL CLINIC is an AHC clinic located in AUDUBON, IA. NPPES has assigned the NPI number 1316998289 to AUDUBON MEDICAL CLINIC on May 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUDUBON MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is T L SPRAGUE DO PC. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 18 years ago on Jan 18, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUDUBON MEDICAL CLINIC below.

NPI Profile for
T L SPRAGUE DO PC

NPI Number
1316998289
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
T L SPRAGUE DO PC
Doing Business As (dba): AUDUBON MEDICAL CLINIC
Primary location
222 BROADWAY
AUDUBON MEDICAL CLINIC
AUDUBON, IA 50025-1199
Phone: (712) 563-4206 Fax: (712) 563-2001
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERRY SPRAGUE
PRESIDENT OF PC
Phone: (712) 563-4206
Updated
Identifiers

Identifiers for AUDUBON MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE B GROUP #IAI3936
MEDICAIDIA0638536
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.