Chi Health Clinic | |
809 E Elm Street Missouri Valley IA 51555-1140 | |
(712) 642-2794 | |
(402) 642-9338 |
Full Name | Chi Health Clinic |
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Speciality | Family Medicine |
Location | 809 E Elm Street, Missouri Valley, Iowa |
Authorized Official Name and Position | Keith Jankuski (COO) |
Authorized Official Contact | 4023434409 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chi Health Clinic 7261 Mercy Rd Omaha NE 68124-2311 Ph: (402) 398-6255 | Chi Health Clinic 809 E Elm Street Missouri Valley IA 51555-1140 Ph: (712) 642-2794 |
NPI Number | 1023154176 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 01/27/2020 |
Medicare PECOS PAC ID | 3678482130 |
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Medicare Enrollment ID | O20040129001183 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023154176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel H Richter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730246745 PECOS PAC ID: 3072528991 Enrollment ID: I20060214000699 |
Provider Name | Jennifer Jean Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225188220 PECOS PAC ID: 3375551211 Enrollment ID: I20060404000095 |
Provider Name | Amy C Jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679623672 PECOS PAC ID: 9739197674 Enrollment ID: I20060404000102 |
Provider Name | Ahmad Alchommali |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1437144961 PECOS PAC ID: 9638076862 Enrollment ID: I20060922000349 |
Provider Name | Carrie L Grady |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548484165 PECOS PAC ID: 4880773274 Enrollment ID: I20080509000656 |
Provider Name | Christy Quillen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598962870 PECOS PAC ID: 1951472059 Enrollment ID: I20080617000739 |
Provider Name | Romaine S Sangha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528284262 PECOS PAC ID: 0749345676 Enrollment ID: I20090210000282 |
Provider Name | Nathaniel V Alvis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861634008 PECOS PAC ID: 9537342167 Enrollment ID: I20110321000049 |
Provider Name | Susan M Peschel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689971020 PECOS PAC ID: 5991982852 Enrollment ID: I20110602000510 |
Provider Name | Adam M Pleas |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1639374572 PECOS PAC ID: 5991957417 Enrollment ID: I20131203001963 |
Provider Name | Gregg A Drabek |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1629180054 PECOS PAC ID: 5890785034 Enrollment ID: I20140403001328 |
Provider Name | Juanita D Alvarez Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447616313 PECOS PAC ID: 5799082764 Enrollment ID: I20160318001638 |
Provider Name | Sara M Mcintosh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861940249 PECOS PAC ID: 6507153723 Enrollment ID: I20161004000170 |
Provider Name | Christina J Crawford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598217119 PECOS PAC ID: 6800175092 Enrollment ID: I20161110001222 |
Provider Name | Brandi L Schaefer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740596113 PECOS PAC ID: 7810012416 Enrollment ID: I20170907001342 |
Provider Name | Sharon Louise Pitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326443342 PECOS PAC ID: 2365762481 Enrollment ID: I20180409002028 |
Provider Name | Erin Hale |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1801237706 PECOS PAC ID: 6901183466 Enrollment ID: I20180717000652 |
Provider Name | Greg A Kuipers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760836332 PECOS PAC ID: 1850644063 Enrollment ID: I20181105001293 |
Provider Name | Melissa Klutts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215445077 PECOS PAC ID: 2769727395 Enrollment ID: I20181228002404 |
Provider Name | Benjamin P Bolmeier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689139669 PECOS PAC ID: 8224370366 Enrollment ID: I20190422001018 |
Provider Name | Debra Ann Tuttle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265730196 PECOS PAC ID: 3577740372 Enrollment ID: I20190605000595 |
Provider Name | Tracy A Schoening |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962050914 PECOS PAC ID: 7517297435 Enrollment ID: I20190919000930 |
Provider Name | Saleem Jafilan |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295116911 PECOS PAC ID: 4789990821 Enrollment ID: I20200609002225 |
Provider Name | Daniel Desjardins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407379159 PECOS PAC ID: 0042635161 Enrollment ID: I20200806002838 |
Provider Name | Allison M Pagan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295230068 PECOS PAC ID: 9234489469 Enrollment ID: I20210915001373 |
Provider Name | Taylor Ehlert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922736800 PECOS PAC ID: 4486030483 Enrollment ID: I20220928002461 |
Provider Name | Pamela Leuschen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003422478 PECOS PAC ID: 3577973965 Enrollment ID: I20221003001684 |
Provider Name | Anna Buckingham |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427492552 PECOS PAC ID: 7810366820 Enrollment ID: I20221214002368 |
Provider Name | Diana Veronica Steau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477165744 PECOS PAC ID: 6204253396 Enrollment ID: I20230915001734 |
Chi Health Clinic Missouri Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 Elm St, Missouri Valley, IA 51555 Phone: 712-642-2794 Fax: 712-642-4221 |