| Altruity Healthcare And Wellness | |
|
1212 W Marion St Manchester IA 52057-2314 | |
| (563) 822-0081 | |
| Not Available |
| Full Name | Altruity Healthcare And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1212 W Marion St, Manchester, Iowa |
| Authorized Official Name and Position | Melinda Marie Jackson (ARNP, FNP-BC, CEO) |
| Authorized Official Contact | 5638220081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altruity Healthcare And Wellness 1212 W Marion St Manchester IA 52057-2314 Ph: (563) 822-0081 | Altruity Healthcare And Wellness 1212 W Marion St Manchester IA 52057-2314 Ph: (563) 822-0081 |
| NPI Number | 1306566328 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 01/28/2024 |
| Medicare PECOS PAC ID | 3274906854 |
|---|---|
| Medicare Enrollment ID | O20230301001658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306566328 | NPI | - | NPPES |
| 2021182987 | Other | IA | ANCC BOARD CERTIFIED |
| 15475326 | Other | IA | CAQH |
| 1598423774 | Other | IA | NPI PERSONAL, PROFESSIONAL |
| A166588 | Other | IA | FAMILY NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Melinda Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598423774 PECOS PAC ID: 5092188672 Enrollment ID: I20230301001711 |
| Provider Name | Brooke A Mactaggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194507954 PECOS PAC ID: 5193173805 Enrollment ID: I20231117002821 |
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