| Peoples Community Health Clinic, Inc | |
|
425 1/2 East Ridgeway Ave. Waterloo IA 50702 | |
| (319) 433-2780 | |
| Not Available |
| Full Name | Peoples Community Health Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 1/2 East Ridgeway Ave., Waterloo, Iowa |
| Authorized Official Name and Position | Beth White (HR ADMINISTRATOR) |
| Authorized Official Contact | 3198743429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoples Community Health Clinic, Inc 905 Franklin St Waterloo IA 50703-4407 Ph: (319) 874-3000 | Peoples Community Health Clinic, Inc 425 1/2 East Ridgeway Ave. Waterloo IA 50702 Ph: (319) 433-2780 |
| NPI Number | 1629684709 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Medicare PECOS PAC ID | 6406746668 |
|---|---|
| Medicare Enrollment ID | O20040319000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629684709 | NPI | - | NPPES |
| 0076372 | Medicaid | IA | |
| 15689 | Other | IA | WELLMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Traci M Ludwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396784872 PECOS PAC ID: 5193720472 Enrollment ID: I20060920000001 |
| Provider Name | Carrie J Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831109107 PECOS PAC ID: 7113924655 Enrollment ID: I20061026000177 |
| Provider Name | Wahid A Riad Zaky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467663674 PECOS PAC ID: 8426142274 Enrollment ID: I20070924000592 |
| Provider Name | Kirby P Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893795 PECOS PAC ID: 4082688114 Enrollment ID: I20091203000719 |
| Provider Name | Sharon Duclos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417945072 PECOS PAC ID: 5597893412 Enrollment ID: I20100513000121 |
| Provider Name | Kimberly Hansen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326023656 PECOS PAC ID: 9234263476 Enrollment ID: I20100810000807 |
| Provider Name | Brent Evan Buhr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194952200 PECOS PAC ID: 3173657814 Enrollment ID: I20100817000110 |
| Provider Name | Merry Oelmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043295371 PECOS PAC ID: 6800911371 Enrollment ID: I20100921000891 |
| Provider Name | Ashley C Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326338724 PECOS PAC ID: 7315123353 Enrollment ID: I20110509000833 |
| Provider Name | Melissa L Oltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720342017 PECOS PAC ID: 5294983052 Enrollment ID: I20120919000813 |
| Provider Name | Sarah Lynn Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497175509 PECOS PAC ID: 0143445924 Enrollment ID: I20140711000533 |
| Provider Name | Anne Marie Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578699054 PECOS PAC ID: 2062498868 Enrollment ID: I20150811005865 |
| Provider Name | Katherine P Bryden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760867394 PECOS PAC ID: 5991012601 Enrollment ID: I20150914000431 |
| Provider Name | Emily A Steffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699175604 PECOS PAC ID: 0840564019 Enrollment ID: I20170927000764 |
| Provider Name | Deborah H Ralston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063432953 PECOS PAC ID: 9234222035 Enrollment ID: I20180119000965 |
| Provider Name | Jene M Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376183368 PECOS PAC ID: 6305263260 Enrollment ID: I20201021002539 |
| Provider Name | Jaime Mae Flanscha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154910644 PECOS PAC ID: 4082020870 Enrollment ID: I20210302001767 |
| Provider Name | Samantha Arlene Malley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326622655 PECOS PAC ID: 6800295858 Enrollment ID: I20210525002449 |
| Provider Name | Krista Lea Chase |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174517171 PECOS PAC ID: 3274864046 Enrollment ID: I20210810000548 |
| Provider Name | Abby C Freese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144993510 PECOS PAC ID: 3375948730 Enrollment ID: I20210823002396 |
| Provider Name | Aaron Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831855485 PECOS PAC ID: 5799176178 Enrollment ID: I20211217002069 |
| Provider Name | Sejla Cejvanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023761764 PECOS PAC ID: 3476948316 Enrollment ID: I20220311001297 |
| Provider Name | Toni Delagardelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477106730 PECOS PAC ID: 5597092486 Enrollment ID: I20220808002642 |
| Provider Name | Amelia Meagan Mcconaghy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588082556 PECOS PAC ID: 9133498579 Enrollment ID: I20221013001889 |
| Provider Name | Brittney Ann Suckow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083329668 PECOS PAC ID: 9335512748 Enrollment ID: I20230306002724 |
| Provider Name | Richard Fleming Martin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1487870580 PECOS PAC ID: 1456706290 Enrollment ID: I20231013000551 |
| Provider Name | Christine Dahl |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730345661 PECOS PAC ID: 8527386218 Enrollment ID: I20231102001142 |
| Provider Name | Mary Margaret Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659749596 PECOS PAC ID: 8628457801 Enrollment ID: I20231226001480 |
| Provider Name | Kari Anne Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871193573 PECOS PAC ID: 0648615344 Enrollment ID: I20240305000331 |
| Provider Name | Kiley Erin Lahmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093579195 PECOS PAC ID: 6507203015 Enrollment ID: I20240320000743 |
| Provider Name | Nnaemeka Egbuna Onyeakusi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558723940 PECOS PAC ID: 4789911777 Enrollment ID: I20240422000643 |
Family Health Center Of Waterloo, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Ridgeway Ave, Suite 106, Waterloo, IA 50701 Phone: 319-226-4400 Fax: 319-226-4401 | |
Peoples Community Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 Fax: 319-272-4321 | |
Matthew Smith Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1753 W Ridgeway Ave Ste 103a, Waterloo, IA 50701 Phone: 319-235-3568 Fax: 319-235-5013 | |
Nagarathnamma Nadipuram, Md, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Dale St, Waterloo, IA 50703 Phone: 319-235-3178 Fax: 319-274-6776 | |
Iowa Gastroenterology Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 St. Francis Drive, Suite 401, Waterloo, IA 50702 Phone: 319-830-4538 | |
Fiat Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Southbrooke Dr, Waterloo, IA 50702 Phone: 319-236-7751 Fax: 319-236-7753 | |
Peoples Community Health Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Logan Ave, Waterloo, IA 50703 Phone: 319-433-2500 |