| Ridge Family Practice, PC | |
|
201 Ridge St Suite 201 Council Bluffs IA 51503-4643 | |
| (712) 322-5899 | |
| (712) 322-5730 |
| Full Name | Ridge Family Practice, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Ridge St, Council Bluffs, Iowa |
| Authorized Official Name and Position | Angela L Lund (OFFICE MANAGER) |
| Authorized Official Contact | 7123225899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Family Practice, PC 201 Ridge St Ste 311 Council Bluffs IA 51503-4643 Ph: (712) 322-5899 | Ridge Family Practice, PC 201 Ridge St Suite 201 Council Bluffs IA 51503-4643 Ph: (712) 322-5899 |
| NPI Number | 1053300020 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 02/21/2022 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 2769372382 |
|---|---|
| Medicare Enrollment ID | O20040317001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053300020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Clarine I Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720078637 PECOS PAC ID: 7315079944 Enrollment ID: I20100719000075 |
| Provider Name | Caitlin Smith Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124782941 PECOS PAC ID: 4183014798 Enrollment ID: I20211213002653 |
Hannah Barrineau NP LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18178 Coit Rd, Council Bluffs, IA 51503 Phone: 402-505-2124 |
CHI Health Quick Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 W Broadway, Council Bluffs, IA 51501 Phone: 800-253-4368 Fax: 712-256-3456 |
Infectious Disease Associates PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6000 |
Diagnostic & Int Med Assoc PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Ridge St, Suite 302, Council Bluffs, IA 51503 Phone: 712-322-5532 Fax: 800-293-4214 |
Midwest Nutrition, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 North Ave Ste 8, Council Bluffs, IA 51503 Phone: 662-322-9037 |
Hopp Physical Therapy, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 Fax: 712-329-0329 |