ST. LUKE'S FAMILY HEALTH CENTER (NPI# 1962539221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962539221 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S FAMILY HEALTH CENTER |
| Practice Address |
855 A Ave Ne Suite Lower Level 1 Cedar Rapids IA 52402-5057 |
| Practice Telephone | 3193697397 |
| Practice Fax Number | 3193697494 |
| Mailing Telephone | 3193697397 |
| Mailing Fax Number | 3193697494 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VALERIE K CAMPBELL (NURSE MANAGER) |
| Authorized Official Telephone | 3193697416 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS BLUE SHIELD | 49729 | 01 |
| IA | 0021691 | 05 |
| Street Address |
855 A AVE NE SUITE LOWER LEVEL 1 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991698 | Johanna J Abernathy | Obstetrics & Gynecology | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2005-06-09 |
| 1497305049 | Jennifer Lynn O'donnell | Registered Nurse | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2019-09-16 |
| 1184196677 | Ashley A Degeeter | Nurse Practitioner | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2018-12-20 |
| 1588118731 | Emily Fye | Nurse Practitioner | 855 A Ave Ne, #400, Cedar Rapids, IA 52402-5057 | 2016-08-04 |
| 1922468925 | Unitypoint At Home | Durable Medical Equipment & Medical Supplies | 855 A Ave Ne, Suite 110, Cedar Rapids, IA 52402-5057 | 2016-03-03 |
| 1366828121 | Ciarra Alexandria Lang | Nurse Practitioner | 855 A Ave Ne, Suite 300, Cedar Rapids, IA 52402-5057 | 2015-08-04 |
| 1396120895 | Kourtney Yoder | Nurse Practitioner | 855 A Ave Ne, Suite 300, Cedar Rapids, IA 52402-5057 | 2015-07-25 |
| 1811388440 | Jennifer Burgett | Nurse Practitioner | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2015-02-18 |
| 1104160746 | St Lukes Methodist Hospital | Durable Medical Equipment & Medical Supplies | 855 A Ave Ne, Ste 110, Cedar Rapids, IA 52402-5060 | 2012-11-20 |
| 1023365525 | Carrie Christine Teahen | Dentist | 855 A Ave Ne, Suite Ll1, Cedar Rapids, IA 52402-5057 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235218819 | Planned Parenthood of The Heartland | Clinic/Center | 1604 2nd Avenue, Council Bluffs, IA 51501-3801 | 2006-11-03 |
| 1154436822 | Saylor Township Fire Department | Clinic/Center | 211 Nw 54th Ave, Des Moines, IA 50313-1725 | 2006-08-20 |
| 1992849350 | Iowa Health | Clinic/Center | 2679 Maury St, Des Moines, IA 50317-7462 | 2007-02-19 |
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on ST. LUKE'S FAMILY HEALTH CENTER.
| 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.