| |
1720 Central Ave E Hampton IA 50441-1859 | |
(641) 456-5000 | |
(641) 456-5020 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1720 Central Ave E, Hampton, Iowa |
Authorized Official Name and Position | Kim Price (CEO) |
Authorized Official Contact | 6414565000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1720 Central Ave E Hampton IA 50441-1859 Ph: (641) 456-5000 | 1720 Central Ave E Hampton IA 50441-1859 Ph: (641) 456-5000 |
NPI Number | 1720296775 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 12/02/2020 |
Medicare PECOS PAC ID | 5799693925 |
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Medicare Enrollment ID | O20031203000072 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720296775 | NPI | - | NPPES |
0255554 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Abdul K Panhwar |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407842396 PECOS PAC ID: 5890682736 Enrollment ID: I20040303001276 |
Provider Name | Mary E Nicol |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144255605 PECOS PAC ID: 7719976141 Enrollment ID: I20040510001421 |
Provider Name | Scott D Hoffman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568464220 PECOS PAC ID: 8022099498 Enrollment ID: I20040601000517 |
Provider Name | Glen D Hanson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710947130 PECOS PAC ID: 2163480351 Enrollment ID: I20041220000723 |
Provider Name | Daphne K Landers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730281031 PECOS PAC ID: 7517910656 Enrollment ID: I20050301000291 |
Provider Name | James M Shumake |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891914826 PECOS PAC ID: 6800834698 Enrollment ID: I20050421001070 |
Provider Name | Courtney C Bochmann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427169051 PECOS PAC ID: 4981635232 Enrollment ID: I20050825000932 |
Provider Name | Rajendra Singh |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1437267739 PECOS PAC ID: 2769491455 Enrollment ID: I20060407000051 |
Provider Name | Toni L Lauffer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497766786 PECOS PAC ID: 0749289221 Enrollment ID: I20061211000289 |
Provider Name | Anish P Keshwani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093764615 PECOS PAC ID: 8426158585 Enrollment ID: I20070703000409 |
Provider Name | Keith L Hansen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447350939 PECOS PAC ID: 1658412812 Enrollment ID: I20100109000291 |
Provider Name | Eric Timothy Hogan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144343435 PECOS PAC ID: 5193894301 Enrollment ID: I20101022000760 |
Provider Name | Leigh Gilburn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235251562 PECOS PAC ID: 3173624418 Enrollment ID: I20121130000417 |
Provider Name | Satinderjit Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013203199 PECOS PAC ID: 1759525397 Enrollment ID: I20130920000213 |
Provider Name | Shawn E Goodall |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518011154 PECOS PAC ID: 3870631351 Enrollment ID: I20141003000382 |
Provider Name | Mohamed Humad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902326499 PECOS PAC ID: 0648549501 Enrollment ID: I20200221000402 |
Provider Name | Josue D Santos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700310711 PECOS PAC ID: 7416228739 Enrollment ID: I20200923000566 |
Provider Name | Emily Joan Melendez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881369619 PECOS PAC ID: 6406253277 Enrollment ID: I20210921001987 |
Provider Name | Yeop Kim |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1134430408 PECOS PAC ID: 5092952374 Enrollment ID: I20211201002124 |
Provider Name | Stacey M Arthur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134853815 PECOS PAC ID: 7517333016 Enrollment ID: I20221025002780 |
Provider Name | Vanessa J Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063123834 PECOS PAC ID: 6800267022 Enrollment ID: I20230126002791 |
Provider Name | Travis D Rath |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386265734 PECOS PAC ID: 9234555384 Enrollment ID: I20231017000769 |
Provider Name | Benjamin J Spittler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063038230 PECOS PAC ID: 6406279918 Enrollment ID: I20231114000225 |