PEOPLES COMMUNITY HEALTH CLINIC, INC. (NPI# 1720108541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720108541 |
| Entity Type | Organization |
| Organization Name | PEOPLES COMMUNITY HEALTH CLINIC, INC. |
| Other Organization Name | PEOPLES CLINIC PHARMACY |
| Practice Address |
905 Franklin St Waterloo IA 50703-4407 |
| Practice Telephone | 3192724300 |
| Practice Fax Number | 3192724489 |
| Mailing Telephone | 3198743000 |
| Mailing Fax Number | 3198743489 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | CHRIS KEMP (COO) |
| Authorized Official Telephone | 3198743000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 406 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0076372 | 05 |
| Other Name | Type Code |
|---|---|
| Peoples Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093703639 | Peoples Community Health Clinic, Inc. | Clinic/Center | 905 Franklin St, Waterloo, IA 50703-4407 | 2005-10-07 |
| Street Address |
905 FRANKLIN ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421954 | Heidi M Bonthuis | Physician Assistant | 905 Franklin St, Waterloo, IA 50703-4407 | 2005-07-14 |
| 1538716980 | Zuhra Husidic | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2019-08-21 |
| 1154800332 | Melody K Kern | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-08-09 |
| 1376021451 | Deborah Yu | Dentist | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-08-01 |
| 1881184216 | Sahara Pradhan | Dentist | 905 Franklin St, Waterloo, IA 50703-4407 | 2018-05-10 |
| 1811425937 | Dawn R Davies | Registered Nurse | 905 Franklin St, Waterloo, IA 50703-4407 | 2017-06-02 |
| 1033661657 | Teresa Boring | Dietitian, Registered | 905 Franklin St, Waterloo, IA 50703-4407 | 2016-10-31 |
| 1023481223 | Stephanie Chamberlin | Dental Hygienist | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-11-10 |
| 1689044224 | Emily Louise Horrigan | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-09-25 |
| 1063896629 | Amy Thurm | Nurse Practitioner | 905 Franklin St, Waterloo, IA 50703-4407 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700987435 | Nudak Ventures LLC | Pharmacy | 209 E San Marnan Dr Ste 100, Waterloo, IA 50702-5839 | 2006-09-26 |
| 1033120670 | Nudak Ventures LLC | Pharmacy | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2006-08-10 |
| 1619978202 | Zimbric Pharmacies,inc | Pharmacy | 104 E Madison St, Waterloo, WI 53594-1273 | 2005-08-03 |
| 1932642600 | Greenwood Drug, Inc. | Pharmacy | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2016-11-29 |
| 1689004368 | Family Practice Center Phcy | Pharmacy | 2055 Kimball Ave, Suite 101, Waterloo, IA 50702-5047 | 2013-11-18 |
| 1134284565 | Amicare Pharmacy Inc | Pharmacy | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2006-12-26 |
| 1831116763 | Wightman Pharmacy Inc | Pharmacy | 127 S Main St, Waterloo, IL 62298-1371 | 2006-07-16 |
| 1518998574 | K Mart Corp | Pharmacy | 3810 University Ave, Waterloo, IA 50701-5625 | 2006-07-06 |
| 1497796494 | Covenant Medical Center Inc | Pharmacy | 2710 Saint Francis Dr, Ste 101, Waterloo, IA 50702-5619 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478868 | Prescription Shoppe, Inc | Pharmacy | 606 Rossville Rd, Waukon, IA 52172-2228 | 2020-08-18 |
| 1851910681 | Daniel Teague | Pharmacy | 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 | 2020-04-12 |
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1104385806 | Pca Iowa Rx, LLC | Pharmacy | 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910 | 2019-03-13 |
| 1740750488 | Preston James Witt | Pharmacy | 13687 Summit Drive, Clive, IA 50325-5032 | 2018-11-26 |
| 1235635285 | Des Moines Central Correctional Pharmacy | Pharmacy | 250 Elm Ave Sw, Mitchellville, IA 50169-9610 | 2018-03-30 |
| 1982111415 | Prescription Shoppe Telepharmacy LLC | Pharmacy | 139 N Lawler St, Postville, IA 52162 | 2018-01-05 |
| 1962929505 | Genoa Healthcare, LLC | Pharmacy | 1441 W Central Park Ave Ste 53, Davenport, IA 52804-1707 | 2017-08-24 |
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEOPLES COMMUNITY HEALTH CLINIC, INC..
| 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.