Myrtue Medical Center | |
1213 Garfield Ave Harlan IA 51537-2057 | |
(712) 755-5161 | |
(712) 755-4312 |
Full Name | Myrtue Medical Center |
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Speciality | Family Medicine |
Location | 1213 Garfield Ave, Harlan, Iowa |
Authorized Official Name and Position | Barry A. Jacobsen (CEO) |
Authorized Official Contact | 7127554315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Myrtue Medical Center 1213 Garfield Ave Harlan IA 51537-2057 Ph: (712) 755-5161 | Myrtue Medical Center 1213 Garfield Ave Harlan IA 51537-2057 Ph: (712) 755-5161 |
NPI Number | 1922184175 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 07/26/2024 |
Certification Date | 07/26/2024 |
Medicare PECOS PAC ID | 5193619393 |
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Medicare Enrollment ID | O20040210000133 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922184175 | NPI | - | NPPES |
020121574 | Medicaid | IA |
Provider Name | Timothy E Brelje |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144213836 PECOS PAC ID: 1153218367 Enrollment ID: I20040302001252 |
Provider Name | Bret Dean Heileson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912982075 PECOS PAC ID: 5496740573 Enrollment ID: I20040419000035 |
Provider Name | Kathy J Wulf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730128463 PECOS PAC ID: 1759362502 Enrollment ID: I20040527000116 |
Provider Name | Renee S Kreifels |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1326156258 PECOS PAC ID: 3870496011 Enrollment ID: I20040902000682 |
Provider Name | Paul S Sherrerd |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1649274218 PECOS PAC ID: 3072577253 Enrollment ID: I20041117000486 |
Provider Name | Clifford K Boese |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1225036916 PECOS PAC ID: 1759347719 Enrollment ID: I20041210000035 |
Provider Name | Scott A Markham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700994308 PECOS PAC ID: 8527017037 Enrollment ID: I20050404000106 |
Provider Name | Jean R Stamp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386752996 PECOS PAC ID: 6305878778 Enrollment ID: I20051115000647 |
Provider Name | David G Erlbacher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235109067 PECOS PAC ID: 2062432040 Enrollment ID: I20051206000428 |
Provider Name | Sarah M Devine |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639286016 PECOS PAC ID: 8224058219 Enrollment ID: I20051206000446 |
Provider Name | Patty E Hildreth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679573893 PECOS PAC ID: 0345348850 Enrollment ID: I20070607000140 |
Provider Name | Sakeer Hussain |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1952423071 PECOS PAC ID: 7214036227 Enrollment ID: I20070615000276 |
Provider Name | Anish P Keshwani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093764615 PECOS PAC ID: 8426158585 Enrollment ID: I20070703000409 |
Provider Name | Valerie Lynn Ball |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1265539738 PECOS PAC ID: 5698756492 Enrollment ID: I20070716000469 |
Provider Name | Eric Bendorf |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1558447169 PECOS PAC ID: 9830181916 Enrollment ID: I20070717000639 |
Provider Name | Mary L Lamar |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134326952 PECOS PAC ID: 7012008022 Enrollment ID: I20070806000508 |
Provider Name | Leslie M Wolf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235354572 PECOS PAC ID: 3577655745 Enrollment ID: I20070816000880 |
Provider Name | Brian A Gutmann |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1750363172 PECOS PAC ID: 3072520949 Enrollment ID: I20080218000418 |
Provider Name | Ronald A Kay |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1861462541 PECOS PAC ID: 2264345826 Enrollment ID: I20090105000362 |
Provider Name | Brian S Anderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447231816 PECOS PAC ID: 1759358153 Enrollment ID: I20100628001073 |
Provider Name | Jill M Paulsen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1093988537 PECOS PAC ID: 1456430586 Enrollment ID: I20100728000594 |
Provider Name | Patrick Pucelik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649247362 PECOS PAC ID: 6406917236 Enrollment ID: I20100816001087 |
Provider Name | David J Clark |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1609890607 PECOS PAC ID: 6507830809 Enrollment ID: I20100827000712 |
Provider Name | Daniel J Larose |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1730187410 PECOS PAC ID: 3678538360 Enrollment ID: I20101214000793 |
Provider Name | Sheri L French |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710178231 PECOS PAC ID: 9234224890 Enrollment ID: I20101217000636 |
Provider Name | Alexander B Bernal |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1912972266 PECOS PAC ID: 9335139294 Enrollment ID: I20101217000670 |
Provider Name | Nicole J Topliff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316222185 PECOS PAC ID: 7911173687 Enrollment ID: I20111229000632 |
Provider Name | Caliste Iv Hsu |
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Provider Type | Practitioner - Hand Surgery |
Provider Identifiers | NPI Number: 1972620912 PECOS PAC ID: 0840457578 Enrollment ID: I20120220000110 |
Provider Name | Jorge L Alvarez |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1003957903 PECOS PAC ID: 9032281779 Enrollment ID: I20120305000055 |
Provider Name | Deborah Lynn Meissner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427127323 PECOS PAC ID: 3971526146 Enrollment ID: I20120813000590 |
Provider Name | Leigh Gilburn |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235251562 PECOS PAC ID: 3173624418 Enrollment ID: I20121130000417 |
Provider Name | Tina M Flores Schechinger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780632554 PECOS PAC ID: 5496744070 Enrollment ID: I20121208000029 |
Provider Name | Kathleen N Evans |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1497839252 PECOS PAC ID: 6103827670 Enrollment ID: I20150721001131 |
Provider Name | Robert A Bendorf |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770746620 PECOS PAC ID: 1557544335 Enrollment ID: I20151016001087 |
Provider Name | Lenamarie Johnson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134506389 PECOS PAC ID: 5294040481 Enrollment ID: I20160621000459 |
Provider Name | Sarah M Mgonja |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811340425 PECOS PAC ID: 3779877824 Enrollment ID: I20160811002210 |
Provider Name | Hannah P Johnk |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225479181 PECOS PAC ID: 7911292826 Enrollment ID: I20160816002984 |
Provider Name | Danny Lewis |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235580366 PECOS PAC ID: 2668765132 Enrollment ID: I20170914000602 |
Provider Name | Jennifer N Bruck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326552639 PECOS PAC ID: 0941569594 Enrollment ID: I20180105001113 |
Provider Name | Kelly H Anderson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790135978 PECOS PAC ID: 6507159217 Enrollment ID: I20200813003077 |
Provider Name | Ahmed Saad |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104340066 PECOS PAC ID: 2264850627 Enrollment ID: I20200916002078 |
Provider Name | Brittany Miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447762588 PECOS PAC ID: 0749697555 Enrollment ID: I20210323001511 |
Provider Name | Erika L Rothgeb |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912401050 PECOS PAC ID: 7911257043 Enrollment ID: I20210628003211 |
Provider Name | Matthew Maslonka |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114330784 PECOS PAC ID: 2961774369 Enrollment ID: I20211026000489 |
Provider Name | Britney Randolph |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558927061 PECOS PAC ID: 6608100219 Enrollment ID: I20211026000786 |
Provider Name | Brian L Boes |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295784643 PECOS PAC ID: 1557350469 Enrollment ID: I20220216002269 |
Provider Name | Le Roy Hodges |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1700856432 PECOS PAC ID: 2163430554 Enrollment ID: I20220725000734 |
Provider Name | Amanda Jo Sumner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821621822 PECOS PAC ID: 3476968165 Enrollment ID: I20220817002954 |
Provider Name | Ivey L Thornton |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801914189 PECOS PAC ID: 8527183011 Enrollment ID: I20230607001161 |
Provider Name | Theresa Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477012029 PECOS PAC ID: 6608273909 Enrollment ID: I20230817002892 |
Provider Name | Timothy John Custer |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1144211418 PECOS PAC ID: 1951389782 Enrollment ID: I20240104000417 |
Provider Name | Lindsey Kinney |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184919631 PECOS PAC ID: 9335590645 Enrollment ID: I20240111001741 |
Provider Name | Rhonda Anderson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922694082 PECOS PAC ID: 2567813876 Enrollment ID: I20240111001919 |
Provider Name | Denise Kinney |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861790057 PECOS PAC ID: 1557712635 Enrollment ID: I20240112003524 |
Provider Name | Katherine Sandquist |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609362946 PECOS PAC ID: 6608228382 Enrollment ID: I20240118000870 |
Provider Name | Katrina Smith |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649546169 PECOS PAC ID: 1951753631 Enrollment ID: I20240118000925 |
Heartland Family Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Market St, Harlan, IA 51537 Phone: 402-553-3000 | |
Myrtue Medical Center - Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1110 Morningview Dr, Harlan, IA 51537 Phone: 712-755-5056 |