PHYSICIANS CLINIC, INC. (NPI# 1386730109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386730109 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CLINIC, INC. |
| Other Organization Name | METHODIST PHYSICIANS CLINIC |
| Practice Address |
107 East 4th Street Malvern IA 51551 |
| Mailing Address |
8601 West Dodge Road Suite # 216 Omaha NE 68114 |
| Practice Telephone | 7125275204 |
| Practice Fax Number | 7126248450 |
| 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 |
| 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 |
| 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 |
107 EAST 4TH STREET |
| City | MALVERN |
| State | IA |
| Zip Code | 51551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790832038 | Malvern C.s.d. | Local Education Agency (LEA) | 1505 E. 15th St., Malvern, IA 51551 | 2007-01-05 |
| 1104989714 | Collins Drug | Pharmacy | 407 Main St, Malvern, IA 51551 | 2006-12-18 |
| 1285723163 | Malvern Volunteer Rescue, Inc. | Ambulance | 110 W 5th Street, Malvern, IA 51551-0058 | 2006-10-11 |
| 1619932662 | Manor of Malvern Inc. | Skilled Nursing Facility | 903 2nd Ave, Malvern, IA 51551-4059 | 2006-04-20 |
| 1588991301 | Morse Healthcare Services Inc. | Skilled Nursing Facility | 903 2nd Ave, Malvern, IA 51551-4059 | 2009-11-16 |
| 1033594551 | Kaleb Richter | Physical Therapy Assistant | 204 E 8th St, Malvern, IA 51551-4062 | 2015-07-26 |
| 1942513379 | Amberly Wiese | Occupational Therapist | 305 E 1st St, Malvern, IA 51551-8008 | 2010-07-14 |
| 1063063014 | Back To Life LLC | Home Health | 305 E 1st St, Malvern, IA 51551-8008 | 2019-09-21 |
| 1336252097 | Thomas M Baer | Family Medicine | 307 Main St, Malvern, IA 51551-8032 | 2006-08-16 |
| 1184021123 | Lancial Chiropractic | Chiropractor | 414 Main St, Malvern, IA 51551-8033 | 2014-11-19 |
| Find all providers in zip 51551 | ||||
| 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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| 1174037808 | Jjl&w Inc. T/a Komfort & Kare | Durable Medical Equipment & Medical Supplies | 266 W. Lancaster Avenue, Suite 300b, Malvern, PA 19355-3256 | 2017-11-16 |
| 1831418441 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 455 Carnegie Blvd, Malvern, PA 19355-8517 | 2010-05-21 |
| 1336166719 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1910 Martin Luther King Blvd, Malvern, AR 72104-2203 | 2006-07-16 |
| 1699707349 | Mary's Medico Rental & Sales, Inc. | Durable Medical Equipment & Medical Supplies | 1023 E Page Ave, Malvern, AR 72104-4363 | 2006-07-06 |
| 1154896199 | Sakrx, LLC | Durable Medical Equipment & Medical Supplies | 403 Main St, Malvern, IA 51551-8137 | 2018-10-05 |
| 1740699966 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2014-08-13 |
| 1366733669 | Kohlls Pharmacy & Homecare Inc | Durable Medical Equipment & Medical Supplies | 401 Main St, Malvern, IA 51551-8137 | 2011-04-21 |
| 1376757096 | Rpmc Inc | Durable Medical Equipment & Medical Supplies | 999 Schneider Dr, Malvern, AR 72104-4815 | 2007-05-10 |
| 1124198221 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 308 S Main St, Malvern, AR 72104-3737 | 2006-11-08 |
| Find all providers in MALVERN | ||||
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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.