PHYSICIANS CLINIC, INC. (NPI# 1023105855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023105855 |
Entity Type | Organization |
Organization Name | PHYSICIANS CLINIC, INC. |
Other Organization Name | METHODIST PHYSICIANS CLINIC |
Practice Address |
320 Ebaugh Street Glenwood IA 51534 |
Mailing Address |
8601 West Dodge Road Suite # 216 Omaha NE 68114 |
Practice Telephone | 7125275204 |
Practice Fax Number | 7125279346 |
Mailing Telephone | 4023545451 |
Mailing Fax Number | 4023545454 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2014-10-07 |
Authorized Official Name | MR. TODD D. GRAGES (PRESIDENT) |
Authorized Official Telephone | 4023545601 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Methodist Physicians Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770673923 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 8111 Dodge Street, Suite # 263, Omaha, NE 68114 | 2006-10-16 |
1124118385 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 10060 Regency Circle, Omaha, NE 68114 | 2006-10-16 |
1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
1760579593 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1400 Senate Avenue, Red Oak, IA 51566 | 2006-10-05 |
1144317975 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 625 So Pine Street, Valley, NE 68064 | 2006-10-05 |
1386730109 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 107 East 4th Street, Malvern, IA 51551 | 2006-10-05 |
1013003839 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 5908 South 142nd Street, Omaha, NE 68137 | 2006-10-05 |
1497842223 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Risen Son Boulevard, Council Bluffs, IA 51503 | 2006-10-05 |
1962599712 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 101 East Centennial Road, Papillion, NE 68046 | 2006-10-05 |
1568773497 | Physicians Clinic, Inc. | Psychiatry & Neurology | 201 Ridge St, Ste. 311, Council Bluffs, IA 51503-4643 | 2010-06-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PHYSICIANS CLINIC, INC. | 8511 W Dodge Rd System, Omaha, NE 68114 |
Iowa Business Entities | PHYSICIANS CLINIC, INC. | One Edmundson Pl, Ste 310, Council Bluffs, IA 51503 |
Street Address |
320 EBAUGH STREET |
City | GLENWOOD |
State | IA |
Zip Code | 51534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
1417143199 | Nancy Goodell Schmailzl | Pharmacist | 1206 Locust, Glenwood, IA 51534 | 2007-09-17 |
1639372055 | Margramon P C | Pharmacy | 1206 S Locust St, Glenwood, IA 51534 | 2007-06-06 |
1083824791 | Denise Jaye Johnson | Physical Therapist | 212 Independence Ave, Suite 100, Glenwood, IA 51534 | 2007-05-23 |
1841355575 | On With Life Extended Service, Ltd. | Skilled Nursing Facility | 714 Lacey St, Glenwood, IA 51534 | 2006-12-22 |
1033270913 | Robert F Lothrop Dds PC | Dentist | 112 S Vine, Glenwood, IA 51534 | 2006-12-13 |
1689749806 | Tracy A Stromgren | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2006-11-22 |
1417022096 | Glenwood Family Dentistry PC | Dentist | 514 First St, Glenwood, IA 51534 | 2006-11-21 |
1801018452 | Stromgren Chiropractic Pa | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2007-05-03 |
1225124522 | George Calvin Weber | Dentist | 208 N Walnut St, Glenwood, IA 51534 | 2006-10-05 |
Find all providers in zip 51534 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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1457411282 | Trumm Drug, Inc. | Durable Medical Equipment & Medical Supplies | 7 4th Ave Se Ste 100, Glenwood, MN 56334-1879 | 2006-12-11 |
1982657912 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 902 S Locust St, Glenwood, IA 51534-1834 | 2006-05-19 |
1982657045 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 710 County Road 21 S, Glenwood, MN 56334-9145 | 2006-05-18 |
1174929160 | Vandesteeg & Larson Optometric Clinic, Pa | Durable Medical Equipment & Medical Supplies | 24 1st St Se, Glenwood, MN 56334-1619 | 2014-11-18 |
1144372145 | Woodard Drugs Inc | Durable Medical Equipment & Medical Supplies | 210 E Broadway, Glenwood, AR 71943-9243 | 2007-01-18 |
1912001918 | Southwest Iowa Medical Services Inc | Durable Medical Equipment & Medical Supplies | 1201 S Locust St, Glenwood, IA 51534-1872 | 2006-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467059402 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 2317 Circle Dr W Ste 4, Spirit Lake, IA 51360-1048 | 2020-10-02 |
1962009902 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 826 E. Park St. Hwy 18, Sheldon, IA 51201-1205 | 2020-10-02 |
1740896695 | Eastern Iowa Sleep Supply, LLC | Durable Medical Equipment & Medical Supplies | 275 10th St Se Ste 1130-b, Cedar Rapids, IA 52403-2450 | 2020-09-16 |
1588278402 | Cass County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1501 E 10th St Ste 105, Atlantic, IA 50022-1936 | 2020-09-08 |
1366061400 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 808 East Pierce Street, Council Bluffs, IA 51503-4626 | 2020-04-09 |
1689208829 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 625 Court St Ste P, Sioux City, IA 51101-1919 | 2020-02-26 |
1548805278 | University of Iowa Community Medical Services, LLC | Durable Medical Equipment & Medical Supplies | 200 Hawkins Dr Ste 1105, Iowa City, IA 52242-1009 | 2019-11-18 |
1821649237 | Wendy Lynn Wohlwend | Durable Medical Equipment & Medical Supplies | 125 W Salem Ave, Indianola, IA 50125-2550 | 2019-09-26 |
1639739055 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1029 S Riverside Dr Ste 100, Iowa City, IA 52246-5616 | 2019-06-18 |
1427614627 | Dr. John's Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 1840 W 48th St, Davenport, IA 52806-4642 | 2019-05-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.