IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (NPI# 1194760561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194760561 |
| Entity Type | Organization |
| Organization Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Other Organization Name | CLARENCE FAMILY MEDICINE |
| Practice Address |
411 1st Ave Clarence IA 52216-9744 |
| Mailing Address |
8101 Birchwood Court Suite R Johnston IA 50131-2930 |
| Practice Telephone | 5634523211 |
| Practice Fax Number | 5634523215 |
| Mailing Telephone | 5154719243 |
| Mailing Fax Number | 5154719319 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | ERICK J LAINE (COO) |
| Authorized Official Telephone | 5154719227 |
| Is Organization Subpart | Y |
| Parent Organization Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0638981 | 05 |
| Other Name | Type Code |
|---|---|
| Clarence Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1740700533 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 800 S Fillmore St Ste A, Osceola, IA 50213-1619 | 2017-06-22 |
| 1851839153 | Iowa Physicians Clinic Medical Foundation | Family Medicine | 131 Main Street Nw, Shellsburg, IA 52332-9554 | 2017-02-07 |
| 1336420173 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 50 East Hickman, Waukee, IA 50263-5011 | 2011-09-07 |
| 1023305307 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 40 East Hickman, Waukee, IA 50263-5011 | 2011-07-07 |
| 1316264252 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 1015 South Hackett Road, Suite 100, Waterloo, IA 50701-3500 | 2010-05-03 |
| 1912235854 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 5510 Utica Ridge Road, Suite 100, Davenport, IA 52807-2935 | 2009-12-04 |
| 1982831426 | Iowa Physicians Clinic Medical Foundation | Family Medicine | 1518 Mulberry Avenue, Muscatine, IA 52761-3433 | 2009-06-11 |
| 1962651588 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 6010 Mills Civic Parkway, West Des Moines, IA 50266-8345 | 2008-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION | 1776 West Lakes Pkwy. Ste 400, West Des Moines, IA 50266 |
| Street Address |
411 1ST AVE |
| City | CLARENCE |
| State | IA |
| Zip Code | 52216-9744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912983966 | David L Askelson | Physician Assistant | 411 1st Ave, Clarence, IA 52216-9744 | 2005-12-21 |
| 1942789250 | Heather Lynn Schott | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2018-08-08 |
| 1598289316 | St Luke's Jones Regional Medical Center | Family Medicine | 411 1st Ave, Clarence, IA 52216-9744 | 2017-08-02 |
| 1154604536 | Anna C. Pruess | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110739 | City of Clarence | Ambulance | 411 Lombard St., Clarence, IA 52216 | 2005-08-03 |
| 1457484230 | Frederick Russell Drexler | Dentist | 303 5th Avenue, Clarence, IA 52216-0446 | 2007-03-13 |
| 1538109749 | Ann Marie Campagna | Chiropractor | 507 Lombard St, Clarence, IA 52216-7703 | 2006-06-07 |
| 1508849522 | Clarence Nursing Home Inc | Skilled Nursing Facility | 402 2nd Ave, Po Box H, Clarence, IA 52216-9754 | 2005-11-23 |
| 1780088393 | Clarence Nursing Home, Inc | Assisted Living Facility | 402 2nd Ave, Clarence, IA 52216-9754 | 2014-10-13 |
| 1699019844 | Sara J Otten | Physical Therapist | 402 2nd Ave, Clarence, IA 52216-9754 | 2012-11-11 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598017550 | Creative Enterprises of Clarence | Clinic/Center | 101 N Center St, Clarence, MO 63437-1701 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
| 1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
| 1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
| 1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
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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.