| West Broadway Clinic, Pc | |
|
16 S 17th St Council Bluffs IA 51501-3818 | |
| (712) 256-5600 | |
| Not Available |
| Full Name | West Broadway Clinic, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16 S 17th St, Council Bluffs, Iowa |
| Authorized Official Name and Position | Isam Elias Marar (PRESIDENT) |
| Authorized Official Contact | 7122565600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Broadway Clinic, Pc 16 S 17th St Council Bluffs IA 51501-3818 Ph: (712) 256-5600 | West Broadway Clinic, Pc 16 S 17th St Council Bluffs IA 51501-3818 Ph: (712) 256-5600 |
| NPI Number | 1407031230 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Medicare PECOS PAC ID | 2961580667 |
|---|---|
| Medicare Enrollment ID | O20080422000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407031230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Diana J Rabadi Marar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366458945 PECOS PAC ID: 0840208849 Enrollment ID: I20060403000504 |
| Provider Name | Isam E Marar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104976109 PECOS PAC ID: 1658389655 Enrollment ID: I20060403000517 |
Ridge Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Ridge St, Suite 201, Council Bluffs, IA 51503 Phone: 712-322-5899 Fax: 712-322-5730 | |
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: Medicare Enrolled 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 | |
Farid Sadr, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Harmony St Ste 202, Council Bluffs, IA 51503 Phone: 712-308-1563 Fax: 712-388-2722 |