WAVERLY HEALTH CENTER (NPI# 1578757936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578757936 |
| Entity Type | Organization |
| Organization Name | WAVERLY HEALTH CENTER |
| Other Organization Name | NOAH CAMPUS HEALTH CLINIC |
| Practice Address |
100 Wartburg Blvd Ste 1392 Wartburg Waverly Sports and Wellness Center Waverly IA 50677-2215 |
| Practice Telephone | 3193528436 |
| Practice Fax Number | 3193523992 |
| Mailing Telephone | 3193528436 |
| Mailing Fax Number | 3193523992 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | MR. MICHAEL D TRACHTA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3193524120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Noah Campus Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184094534 | Waverly Health Center | Clinic/Center | 202 Wildcat Way, Janesville, IA 50647-1016 | 2015-09-29 |
| 1871860569 | Waverly Health Center | Clinic/Center | 1001 Mason Way, Shell Rock, IA 50670-1007 | 2011-11-23 |
| 1649509514 | Waverly Health Center | Clinic/Center | 312 9th Street Sw, Suite 2300, Waverly, IA 50677-2909 | 2009-12-23 |
| 1316241615 | Waverly Health Center | Clinic/Center | 312 9th Street Sw, Suite 3000, Waverly, IA 50677-2909 | 2010-12-29 |
| 1255659124 | Waverly Health Center | Clinic/Center | 312 9th St Sw, Suite 2200, Waverly, IA 50677-2909 | 2010-05-17 |
| 1447432174 | Waverly Health Center | Clinic/Center | 80 Amhearst Boulevard, Suite 400, Nashua, IA 50658-9712 | 2007-12-05 |
| 1598959371 | Waverly Health Center | Surgery | 312 9th St Sw, Waverly, IA 50677-2929 | 2007-09-05 |
| 1033282975 | Waverly Health Center | Physician Assistant | 312 9th St Sw, Waverly, IA 50677-2929 | 2006-11-16 |
| 1033125463 | Waverly Health Center | Nurse Anesthetist, Certified Registered | 312 9th St Sw, Waverly, IA 50677-2929 | 2006-07-31 |
| 1124043153 | Waverly Health Center | General Acute Care Hospital | 312 9th St Sw, Waverly, IA 50677-2929 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WAVERLY HEALTH CENTER AUXILIARY | 312 Ninth St. Sw, Waverly, IA 50677 |
| Street Address |
100 WARTBURG BLVD STE 1392 WARTBURG WAVERLY SPORTS AND WELLNESS CENTER |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700856663 | Jane D Zehr | Physician Assistant | 100 Wartburg Blvd Ste 1392, Wartburg-waverly Sports and Wellness Center, Waverly, IA 50677-2215 | 2006-01-24 |
| 1710485446 | Taylor Physical Therapy Associates LLC | Occupational Therapist | 100 Wartburg Blvd Ste 1392, Waverly, IA 50677-2215 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291932 | Clarke University | Clinic/Center | 1550 Clarke Dr # 1722, Dubuque, IA 52001-3117 | 2020-07-02 |
| 1285635664 | State University of Iowa | Clinic/Center | 4189 Wl University of Iowa, Iowa City, IA 52242-1100 | 2005-08-09 |
| 1427684745 | Melissa Zapata | Clinic/Center | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-18 |
| 1356477319 | Isu Thielen Student Health Center | Clinic/Center | 2260 Thielen Student Health Center, Union & Sheldon Drive, Ames, IA 50011-0001 | 2007-02-26 |
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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.