PHYSICIANS CLINIC, INC. (NPI# 1760579593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760579593 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CLINIC, INC. |
| Other Organization Name | METHODIST PHYSICIANS CLINIC |
| Practice Address |
1400 Senate Avenue Red Oak IA 51566 |
| Mailing Address |
8601 West Dodge Road Suite # 216 Omaha NE 68114 |
| Practice Telephone | 7126237250 |
| Practice Fax Number | 7126237257 |
| Mailing Telephone | 4023544822 |
| Mailing Fax Number | 4023545454 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| 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 |
| 1023105855 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 320 Ebaugh Street, Glenwood, IA 51534 | 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 |
1400 SENATE AVENUE |
| City | RED OAK |
| State | IA |
| Zip Code | 51566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1528477379 | Marcela Ivette Pineda Molina | Obstetrics & Gynecology | 1400 Senate Ave Ste 102, Red Oak, IA 51566 | 2014-08-06 |
| 1538397468 | Etta Murphy | Counselor | 1101 Summit St. Ste. 2, Red Oak, IA 51566 | 2009-06-30 |
| 1871799387 | Jeffrey Alan Hulne | Physical Therapist | 2301 Eastern Ave., Red Oak, IA 51566 | 2007-06-22 |
| 1154469385 | Mills County | Case Management | 105 Coolbaugh, Red Oak, IA 51566 | 2007-02-01 |
| 1356415624 | James Forest Wyatt | Obstetrics & Gynecology | 1905 East Summit Street, Red Oak, IA 51566 | 2006-11-20 |
| 1851487664 | Janet K Wheat | Chiropractor | 401 E Park Ave, Red Oak, IA 51566 | 2006-10-05 |
| 1730192394 | Michael Patrick Mccormack | Dentist | 1700 Summit Ave, Red Oak, IA 51566 | 2006-08-14 |
| 1194796763 | Dr. Robert H. Sharp, P.C. | Optometrist | 514 4th St., Red Oak, IA 51566 | 2006-01-31 |
| 1700356334 | Brianna Jean Schaffer | Nurse Practitioner | 2301 Eastern Ave, Red Oak, IA 51566 | 2018-11-27 |
| Find all providers in zip 51566 | ||||
| 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 |
|---|---|---|---|---|
| 1063763134 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 107 E Ovilla Rd, Red Oak, TX 75154-2445 | 2012-09-28 |
| 1669747523 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 100 S Ryan Dr, Red Oak, TX 75154-4214 | 2012-03-12 |
| 1841220597 | Montgomery County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 111 E Washington Ave, Red Oak, IA 51566-2238 | 2006-07-04 |
| 1952337347 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1605 N Broadway St, Red Oak, IA 51566-1027 | 2006-06-25 |
| 1205355476 | Cse Professional Services LLC | Durable Medical Equipment & Medical Supplies | 100 Plaza Dr, Suite 300, Red Oak, TX 75154 | 2017-09-19 |
| 1083748925 | Michael J. Portz, O.d., P.C. | Durable Medical Equipment & Medical Supplies | 1409 N 2nd St, Red Oak, IA 51566-1043 | 2007-03-15 |
| 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.