IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (NPI# 1457394645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457394645 |
| Entity Type | Organization |
| Organization Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Other Organization Name | MOUNT VERNON FAMILY MEDICINE |
| Practice Address |
200 Virgil Ave Se Mount Vernon IA 52314-1589 |
| Mailing Address |
8101 Birchwood Court Suite R Johnston IA 50131-2930 |
| Practice Telephone | 3198958841 |
| Practice Fax Number | 3198958477 |
| Mailing Telephone | 5154719243 |
| Mailing Fax Number | 5154719319 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-08-16 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Mount Vernon 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 |
200 VIRGIL AVE SE |
| City | MOUNT VERNON |
| State | IA |
| Zip Code | 52314-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629056163 | Clayton T Schuett | Family Medicine | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2006-01-05 |
| 1902034861 | Tiernie J. Kluver | Physician Assistant | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2009-06-30 |
| 1013144674 | Jamie Michelle Wallace Smith | Family Medicine | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2009-06-22 |
| 1992901268 | Benjamin Harrison Daniels | Family Medicine | 200 Virgil Ave Se, Mount Vernon, IA 52314-1589 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756670 | Alexander J J Hale | Specialist/Technologist | 1010 Palisades Road Sw, Mount Vernon, IA 52314 | 2015-12-21 |
| 1407248412 | Sabrina Rogers | Counselor | 301 Hwy 1 Se Ste B, Mt Vernon, IA 52314 | 2015-02-27 |
| 1760792899 | Krista Joi Ringwald | Pharmacist | 113 First St East, Mount Vernon, IA 52314 | 2010-10-07 |
| 1689862393 | Mary A Mosher | Pharmacist | 113 1st Street E., Mount Vernon, IA 52314 | 2007-10-09 |
| 1174720940 | Mercy Physician Associates, Inc | Family Medicine | 310 Highway 1 Se, Mt. Vernon, IA 52314 | 2007-06-27 |
| 1831248723 | Brad Allen Kluver | Chiropractor | 111 1st Street East, Mount Vernon, IA 52314 | 2007-01-09 |
| 1578559829 | Monica Ann Meeker | Family Medicine | 421 3rd Avenue South, Mount Vernon, IA 52314 | 2005-09-22 |
| 1972034064 | Emily Martin | Specialist/Technologist | 600 1st St, Mount Vernon, IA 52314 | 2017-03-21 |
| 1558564450 | Dawn M. Gaffney, Dds, LLC | Dentist | 801 Hwy 30 W, Mount Vernon, IA 52314-0202 | 2007-06-07 |
| 1518468156 | Kelly Leeper | Specialist/Technologist | 600 1st St Sw, Mount Vernon, IA 52314-1006 | 2018-02-27 |
| Find all providers in zip 52314 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1942618517 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 500 W Mount Vernon Blvd, Mount Vernon, MO 65712-1920 | 2014-07-28 |
| 1568704112 | Heritage Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 142 W 1st St, Mount Vernon, NY 10550-2904 | 2013-03-21 |
| 1457664641 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 601 S. Mason St., Mount Vernon, GA 30445-3048 | 2010-07-16 |
| 1720317498 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 24 W Grand St, Mount Vernon, NY 10552-2106 | 2009-12-09 |
| 1427235530 | Ohley Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 4704 Broadway St, Mount Vernon, IL 62864-6724 | 2008-01-31 |
| 1629252242 | Hill-rom Company, Inc. | Durable Medical Equipment & Medical Supplies | 1020 Veterans Memorial Dr., Suite A, Mount Vernon, IL 62864 | 2007-12-18 |
| 1841366481 | Mcconaghy Drug Store Inc | Durable Medical Equipment & Medical Supplies | 19390 Hwy 43 and Mildred Street, Mount Vernon, AL 36560 | 2006-11-27 |
| 1720152804 | Selective Med Components | Durable Medical Equipment & Medical Supplies | 564 Harcourt Rd, Mount Vernon, OH 43050-3920 | 2006-11-20 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 52314 |
Please comment or provide details below to improve the information on IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION.
| 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.