IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (NPI# 1043269079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043269079 |
| Entity Type | Organization |
| Organization Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Other Organization Name | ANAMOSA FAMILY MEDICINE |
| Practice Address |
1791 Highway 64 E Anamosa IA 52205-2112 |
| Mailing Address |
8101 Birchwood Court Suite R Johnston IA 50131-2930 |
| Practice Telephone | 3194623571 |
| Practice Fax Number | 3194626043 |
| Mailing Telephone | 5154719243 |
| Mailing Fax Number | 5154719319 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-10-03 |
| 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 | 0638940 | 05 |
| Other Name | Type Code |
|---|---|
| Anamosa 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 |
1791 HIGHWAY 64 E |
| City | ANAMOSA |
| State | IA |
| Zip Code | 52205-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225016009 | Charles B Vernon | Family Medicine | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2006-01-03 |
| 1598264442 | Michelle Marie Brant | Physician Assistant | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2018-02-06 |
| 1013459163 | St Luke's Jones Regional Medical Center | Family Medicine | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2016-11-07 |
| 1518223361 | Katherine I Meyers | Family Medicine | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2012-04-05 |
| 1700084191 | Usha Renganathan | Family Medicine | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2007-07-06 |
| 1295860260 | Carl Victor Chalstrom | Pharmacist | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2007-02-22 |
| 1962481622 | Alissa A Schepanski | Physician Assistant | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2006-01-11 |
| 1578541116 | Kirk W Kilburg | Family Medicine | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790251536 | Sarah M Koenighain | Occupational Therapist | 1209 E 3rd St, Anamosa, Anamosa, IA 52205 | 2018-10-19 |
| 1619455573 | Carrie Johnson | Counselor | 110 S Williams Street, Anamosa, IA 52205 | 2018-08-02 |
| 1518485739 | Samantha Marie Billings | Specialist/Technologist | 102 West Webster St., Anamosa, IA 52205 | 2017-09-08 |
| 1053850032 | Tyler Derosia | Specialist/Technologist | 409 Kaitlynn Ave, Anamosa, IA 52205 | 2017-02-23 |
| 1760939292 | Katelyn Price | Nurse Practitioner | 1795 Ia 64, Anamosa, IA 52205 | 2016-09-01 |
| 1508242983 | Brady W Hunt | Physician Assistant | 1791 Hwy 64 East, Anamosa, IA 52205 | 2015-08-07 |
| 1518369933 | Chong Shao | Dentist | 900 E 3rd St Ste A, Anamosa, IA 52205 | 2014-09-17 |
| 1457486409 | Prescription Shoppe, Inc | Durable Medical Equipment & Medical Supplies | 303 West Main Street, Anamosa, IA 52205 | 2007-02-22 |
| 1154499283 | Cynthia Lea Clough | Counselor | 405 East Main Street, Anamosa, IA 52205 | 2006-11-30 |
| 1972585966 | Anamosa Area Ambulance Service | Ambulance | 101 Grant Wood Dr, Anamosa, IA 52205-0000 | 2005-11-16 |
| Find all providers in zip 52205 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 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.