| Hawarden Regional Healthcare Clinics Llc | |
|
1122 12th St Hawarden IA 51023-1900 | |
| (712) 551-3400 | |
| (712) 551-2691 |
| Full Name | Hawarden Regional Healthcare Clinics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1122 12th St, Hawarden, Iowa |
| Authorized Official Name and Position | Jayson P Pullman (PRESIDENT) |
| Authorized Official Contact | 7125513103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawarden Regional Healthcare Clinics Llc 1122 12th St Hawarden IA 51023-1900 Ph: (712) 551-3400 | Hawarden Regional Healthcare Clinics Llc 1122 12th St Hawarden IA 51023-1900 Ph: (712) 551-3400 |
| NPI Number | 1750324612 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 7517929532 |
|---|---|
| Medicare Enrollment ID | O20050411000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750324612 | NPI | - | NPPES |
| 1013955004 | Medicaid | IA | |
| 38497 | Other | IA | WELLMARK BCBS IA GRP # |
| 0685032 | Medicaid | IA |
| Provider Name | Kelly S Pomerenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205826641 PECOS PAC ID: 5799672978 Enrollment ID: I20040302000996 |
| Provider Name | Dale P Nystrom |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528128444 PECOS PAC ID: 6204822430 Enrollment ID: I20040422001561 |
| Provider Name | Cindi S Rule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003006610 PECOS PAC ID: 2860565132 Enrollment ID: I20080718000655 |
| Provider Name | David S Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023268646 PECOS PAC ID: 8325281454 Enrollment ID: I20130821000463 |
| Provider Name | Denise S Hanisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154375608 PECOS PAC ID: 1951304849 Enrollment ID: I20140225001504 |
| Provider Name | Beau Waddell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053713636 PECOS PAC ID: 9830413913 Enrollment ID: I20161115002059 |
| Provider Name | Amy M Waterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104335496 PECOS PAC ID: 4385903640 Enrollment ID: I20180111001616 |
| Provider Name | Karen S Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639724065 PECOS PAC ID: 9032547666 Enrollment ID: I20200313002069 |
| Provider Name | Jenna A Weyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134852502 PECOS PAC ID: 8527441278 Enrollment ID: I20220813000679 |
| Provider Name | Mackenzie J Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376229344 PECOS PAC ID: 6709860083 Enrollment ID: I20230825001244 |
Hawarden Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 12th St, Hawarden, IA 51023 Phone: 712-551-3400 | |
Sioux Center Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Avenue F, Hawarden, IA 51023 Phone: 712-551-1000 | |
Greater Sioux Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 13th St, Hawarden, IA 51023 Phone: 712-551-1454 Fax: 712-551-2829 |