IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (NPI# 1992754220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992754220 |
| Entity Type | Organization |
| Organization Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Other Organization Name | INDIANOLA FAMILY MEDICINE |
| Practice Address |
301 E Hillcrest Ave Indianola IA 50125-9027 |
| Mailing Address |
8101 Birchwood Ct Suite R Johnston IA 50131-2930 |
| Practice Telephone | 5159613700 |
| Practice Fax Number | 5159616574 |
| Mailing Telephone | 5154719372 |
| Mailing Fax Number | 5154719319 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-08-16 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Indianola 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 |
301 E HILLCREST AVE |
| City | INDIANOLA |
| State | IA |
| Zip Code | 50125-9027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942298088 | Chris Robert Jensen | Family Medicine | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2005-10-12 |
| 1174964845 | Katie Ruble Kim | Physician Assistant | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2013-07-10 |
| 1245412204 | Audrey K Gries | Physician Assistant | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2007-12-03 |
| 1083677512 | David Gabel | Family Medicine | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1023667995 | Bonnie Dufault | Technician | 2402 West Euclid Ave, Indiana, IA 50125 | 2019-09-04 |
| 1407307499 | Traci Rudolf-hanrahan | Social Worker | 310 North Buxton Street, Indianola, IA 50125 | 2016-10-14 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1629272836 | Michael James Hadden | Specialist/Technologist | Simpson College, 701 North C Street, Indianola, IA 50125 | 2007-06-12 |
| 1245440221 | Indianola Ia Assisted Living | Assisted Living Facility | 608 South 15th St., Indianola, IA 50125 | 2007-05-22 |
| 1689769432 | Michele Tingle | Emergency Medicine | 9128 87th Ln, Indianola, IA 50125 | 2006-10-04 |
| 1538114764 | Sue Marie Peterson | Specialist/Technologist | 1507 N 1st St, Indianola, IA 50125 | 2006-05-24 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1528025533 | Jessica A Espenmiller | Occupational Therapist | 1507 North 1st St, Indianola, IA 50125 | 2006-04-26 |
| Find all providers in zip 50125 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649237 | Wendy Lynn Wohlwend | Durable Medical Equipment & Medical Supplies | 125 W Salem Ave, Indianola, IA 50125-2550 | 2019-09-26 |
| 1548544216 | Long Term Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 126 N Howard St, Suite 102, Indianola, IA 50125 | 2011-09-29 |
| 1770623506 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 110 East Baker Street, Indianola, MS 38751 | 2007-02-08 |
| 1306913983 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 404 E Euclid Ave, Indianola, IA 50125-1730 | 2006-11-29 |
| 1972518298 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Jefferson Way, Indianola, IA 50125-1452 | 2006-07-29 |
| 1700803111 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 633 Highway 82 W, Indianola, MS 38751-2078 | 2006-07-16 |
| 1780610295 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 910 N Jefferson Way, Indianola, IA 50125-1450 | 2006-06-25 |
| 1598707051 | James Poe | Durable Medical Equipment & Medical Supplies | 124 E Baker St, Indianola, MS 38751-2451 | 2006-06-11 |
| 1093764086 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 208 E Euclid Ave, Indianola, IA 50125-1816 | 2006-05-08 |
| 1821094285 | Avritt Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 309 Highway 82 E # 27, Indianola, MS 38751-2236 | 2005-06-21 |
| Find all providers in INDIANOLA | ||||
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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.