| Infinity Health | |
|
302 Ne 14th St Leon IA 50144-1206 | |
| (641) 446-2383 | |
| (641) 446-2383 |
| Full Name | Infinity Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Ne 14th St, Leon, Iowa |
| Authorized Official Name and Position | Samantha Cannon (CEO) |
| Authorized Official Contact | 6414462383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Health 302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 | Infinity Health 302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 |
| NPI Number | 1770521981 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5597717496 |
|---|---|
| Medicare Enrollment ID | O20051024000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770521981 | NPI | - | NPPES |
| 507202208 | Medicaid | MO | |
| 0462887 | Medicaid | IA | |
| 61826 | Other | WELLMARK MEDICARE BLUE PPO | |
| 39014 | Other | WELLMARK BLUE CROSS/ BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Alva Eugene Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155995 PECOS PAC ID: 5698912780 Enrollment ID: I20130509000131 |
| Provider Name | Nathan B Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629398987 PECOS PAC ID: 8325280423 Enrollment ID: I20130819000690 |
| Provider Name | Evelyn Lee Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821324641 PECOS PAC ID: 5395977904 Enrollment ID: I20140414002053 |
| Provider Name | Jennifer L Spoerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679986350 PECOS PAC ID: 4688899925 Enrollment ID: I20140701000008 |
| Provider Name | Melissa Michelle Groh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932538576 PECOS PAC ID: 1355764812 Enrollment ID: I20200701000919 |
| Provider Name | Michael David Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598439713 PECOS PAC ID: 3779981691 Enrollment ID: I20211007000920 |
| Provider Name | Sandy Marcus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316510324 PECOS PAC ID: 0244621746 Enrollment ID: I20211227000656 |
| Provider Name | Jordan M Mccloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306440003 PECOS PAC ID: 1153733423 Enrollment ID: I20220324001919 |
| Provider Name | Elizabeth Marie Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508598640 PECOS PAC ID: 0840660486 Enrollment ID: I20221223000350 |
| Provider Name | Jena Rae Ellerhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598183493 PECOS PAC ID: 3577951433 Enrollment ID: I20230303000529 |
| Provider Name | Desiree' Ariel Bridges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265984793 PECOS PAC ID: 4981062866 Enrollment ID: I20230626000911 |
| Provider Name | Aneka Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033697628 PECOS PAC ID: 0143571463 Enrollment ID: I20230630001610 |
| Provider Name | Allison Marie Schollmeyer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215621941 PECOS PAC ID: 7012379787 Enrollment ID: I20230811001270 |
| Provider Name | Jacob Hopper |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326451253 PECOS PAC ID: 2365898301 Enrollment ID: I20231026002360 |
| Provider Name | Regina M Lassabe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962870196 PECOS PAC ID: 2062719099 Enrollment ID: I20231229001047 |
| Provider Name | Kacey Denise Courtney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053193227 PECOS PAC ID: 0446600555 Enrollment ID: I20240102000385 |
| Provider Name | Danielle Lea O'brien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457678203 PECOS PAC ID: 6103276225 Enrollment ID: I20240102000990 |
Infinity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2383 Fax: 641-446-2382 | |
Decatur Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 Nw Church St, Leon, IA 50144 Phone: 641-446-4863 Fax: 641-446-3576 |