| Jennie Edmundson Memorial Hospital | |
|
933 E Pierce St Council Bluffs IA 51503-4626 | |
| (712) 396-6000 | |
| (712) 396-6288 |
| Full Name | Jennie Edmundson Memorial Hospital |
|---|---|
| Speciality | Emergency Medicine |
| Location | 933 E Pierce St, Council Bluffs, Iowa |
| Authorized Official Name and Position | Jeff Francis (VP FINANCE & CFO) |
| Authorized Official Contact | 4023545438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Edmundson Memorial Hospital Po Box 2797 Omaha NE 68103-2797 Ph: (402) 354-4230 | Jennie Edmundson Memorial Hospital 933 E Pierce St Council Bluffs IA 51503-4626 Ph: (712) 396-6000 |
| NPI Number | 1942251269 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 10/16/2025 |
| Certification Date | 10/16/2025 |
| Medicare PECOS PAC ID | 9537064837 |
|---|---|
| Medicare Enrollment ID | O20031201000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942251269 | NPI | - | NPPES |
| 088716 | Medicaid | IA | |
| 10025220600 | Medicaid | NE | |
| 10025873100 | Medicaid | NE | |
| 10025857700 | Medicaid | NE | |
| 08871 | Other | IA | WELLMARK |
| CV0019 | Other | IA | RAILROAD |
| Provider Name | Patrick T Costello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952415150 PECOS PAC ID: 8921905431 Enrollment ID: I20031215000053 |
| Provider Name | Jill K Ogg Gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730278789 PECOS PAC ID: 1254323827 Enrollment ID: I20040401001650 |
| Provider Name | Michael K Zlomke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700878220 PECOS PAC ID: 2466416904 Enrollment ID: I20041117001047 |
| Provider Name | Steven G Navarro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598703357 PECOS PAC ID: 8820041635 Enrollment ID: I20050303000370 |
| Provider Name | Thomas F Cheatle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750331369 PECOS PAC ID: 5496782534 Enrollment ID: I20050720000977 |
| Provider Name | Jane M Theobald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902857733 PECOS PAC ID: 8123047172 Enrollment ID: I20051118000264 |
| Provider Name | Kara D Dostal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588794234 PECOS PAC ID: 3577669894 Enrollment ID: I20070503000204 |
| Provider Name | Timothy J Goc |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598873002 PECOS PAC ID: 9537251533 Enrollment ID: I20070822000997 |
| Provider Name | Myles Gart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447368964 PECOS PAC ID: 5294637039 Enrollment ID: I20070822001118 |
| Provider Name | Syed P Sattar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942314604 PECOS PAC ID: 3375500796 Enrollment ID: I20090902000549 |
| Provider Name | Paul C Mileris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083723134 PECOS PAC ID: 2264570134 Enrollment ID: I20091113000127 |
| Provider Name | Evelyn E Reher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992759542 PECOS PAC ID: 4981734407 Enrollment ID: I20100610000222 |
| Provider Name | Becki M Goldberg Kahn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124101902 PECOS PAC ID: 1759406143 Enrollment ID: I20100908000665 |
| Provider Name | Tri H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881667350 PECOS PAC ID: 7911022983 Enrollment ID: I20100914000728 |
| Provider Name | Brianne Buge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104116813 PECOS PAC ID: 7113104803 Enrollment ID: I20110915000197 |
| Provider Name | Amanda K Bogard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104259589 PECOS PAC ID: 1850526021 Enrollment ID: I20131023001515 |
| Provider Name | Jenna Lyn Eich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676976 PECOS PAC ID: 8123247509 Enrollment ID: I20140917001113 |
| Provider Name | Heather A Hergott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972899573 PECOS PAC ID: 8527381334 Enrollment ID: I20150102000249 |
| Provider Name | Evan M Neesen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952696379 PECOS PAC ID: 2860622198 Enrollment ID: I20150209000175 |
| Provider Name | Amanda Marie Rowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649613308 PECOS PAC ID: 0941526677 Enrollment ID: I20150224000801 |
| Provider Name | Jolynn D Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437386471 PECOS PAC ID: 9032263827 Enrollment ID: I20151210002405 |
| Provider Name | Travis J Hayes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699986745 PECOS PAC ID: 8022104421 Enrollment ID: I20160324000629 |
| Provider Name | Edward Chartrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710291257 PECOS PAC ID: 3678798865 Enrollment ID: I20160610001113 |
| Provider Name | Catherine T Stoos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578998654 PECOS PAC ID: 2961717863 Enrollment ID: I20170310000419 |
| Provider Name | Roxanne P Kardell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710472931 PECOS PAC ID: 1153678354 Enrollment ID: I20180719000249 |
| Provider Name | Dallas J Vogt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770042012 PECOS PAC ID: 0648511808 Enrollment ID: I20190416002465 |
| Provider Name | Nicholas C Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306256607 PECOS PAC ID: 2769777291 Enrollment ID: I20200106002434 |
| Provider Name | Gregory S. Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982714978 PECOS PAC ID: 0143117796 Enrollment ID: I20200504001706 |
| Provider Name | Deborah A Perry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093825929 PECOS PAC ID: 4880651322 Enrollment ID: I20200504002015 |
| Provider Name | Charles H. Mosher |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164492997 PECOS PAC ID: 0446492391 Enrollment ID: I20200511000532 |
| Provider Name | Jiri B. Bedrnicek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831352046 PECOS PAC ID: 1456403906 Enrollment ID: I20200518001035 |
| Provider Name | Christine P Hans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033168398 PECOS PAC ID: 0840377644 Enrollment ID: I20200914001908 |
| Provider Name | John D. Gentry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477642205 PECOS PAC ID: 0749288041 Enrollment ID: I20200916001047 |
| Provider Name | Diana L. Nevins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033228051 PECOS PAC ID: 3779548474 Enrollment ID: I20200916001246 |
| Provider Name | Teresa A Karre |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801057088 PECOS PAC ID: 0941376768 Enrollment ID: I20200917002671 |
| Provider Name | Peter A. Abasolo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609181387 PECOS PAC ID: 4880817527 Enrollment ID: I20200918001664 |
| Provider Name | Shane K. Kohl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013105899 PECOS PAC ID: 1951474220 Enrollment ID: I20200921001326 |
| Provider Name | Sara J. Rutter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831501188 PECOS PAC ID: 8820324148 Enrollment ID: I20201002000337 |
| Provider Name | Leah Katherine Eck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043818669 PECOS PAC ID: 9739590134 Enrollment ID: I20201116000849 |
| Provider Name | Amy Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396350906 PECOS PAC ID: 6305258823 Enrollment ID: I20201207002118 |
| Provider Name | Alan G Torell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124139670 PECOS PAC ID: 9234191321 Enrollment ID: I20210527001578 |
| Provider Name | Regina Marie Plummer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265810287 PECOS PAC ID: 1951605260 Enrollment ID: I20210706003324 |
| Provider Name | Kathryn Mccary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326489139 PECOS PAC ID: 8123257284 Enrollment ID: I20210818000828 |
| Provider Name | Jessica C Bortolotti Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962171090 PECOS PAC ID: 5890192470 Enrollment ID: I20210923003532 |
| Provider Name | Billie J Theel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770083123 PECOS PAC ID: 4183987381 Enrollment ID: I20211014001293 |
| Provider Name | Lindsay Kathrine Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336808484 PECOS PAC ID: 2365833084 Enrollment ID: I20220106000889 |
| Provider Name | Rachel Pittner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609525781 PECOS PAC ID: 3577950955 Enrollment ID: I20220504000737 |
| Provider Name | Kristi J Kranz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114667532 PECOS PAC ID: 7315320165 Enrollment ID: I20220906001177 |
| Provider Name | Tammy Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295460731 PECOS PAC ID: 6709262025 Enrollment ID: I20221010002051 |
| Provider Name | Mary Chidinma Onyarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514965 PECOS PAC ID: 6406232123 Enrollment ID: I20221010002465 |
| Provider Name | Nitu Maharjan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689393308 PECOS PAC ID: 3678949609 Enrollment ID: I20221017002123 |
| Provider Name | Hilary K Applequist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093125536 PECOS PAC ID: 6002030566 Enrollment ID: I20221222001821 |
| Provider Name | Dolly Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20230225000410 |
| Provider Name | Pavankumar Bommasamudram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20230622001945 |
| Provider Name | Mark Klinger Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20230623001696 |
| Provider Name | Stephen A Mikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20230624000122 |
| Provider Name | Audrey Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396346987 PECOS PAC ID: 9133539703 Enrollment ID: I20230814000579 |
| Provider Name | Suraj Suku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20230831000283 |
| Provider Name | Amanda T Calleroz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598105256 PECOS PAC ID: 4789808510 Enrollment ID: I20231228000580 |
| Provider Name | Zulfiqar Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20240124003806 |
| Provider Name | Anna Wanahita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20240416000766 |
| Provider Name | Briana L Foulk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063263408 PECOS PAC ID: 3072055854 Enrollment ID: I20240607002085 |
| Provider Name | Frankie K Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447810593 PECOS PAC ID: 5496087637 Enrollment ID: I20240612002381 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871858548 PECOS PAC ID: 7618297441 Enrollment ID: I20240612004282 |
| Provider Name | Kerri S Remmel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639177884 PECOS PAC ID: 8921016908 Enrollment ID: I20240724003706 |
| Provider Name | Imad Uddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245498906 PECOS PAC ID: 3870764285 Enrollment ID: I20240808002736 |
| Provider Name | Wayne Robert Markus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851478168 PECOS PAC ID: 3577693555 Enrollment ID: I20240821000347 |
| Provider Name | Michael A Haboubi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740410117 PECOS PAC ID: 1850535600 Enrollment ID: I20240829003989 |
| Provider Name | Tracy Ander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801121355 PECOS PAC ID: 2769621036 Enrollment ID: I20241125001929 |
| Provider Name | Meagan R Freml |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578056669 PECOS PAC ID: 6103173158 Enrollment ID: I20250110000769 |
| Provider Name | Samina Mansoor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952122541 PECOS PAC ID: 3375079312 Enrollment ID: I20250116001713 |
| Provider Name | Warren Casey Carrigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326282153 PECOS PAC ID: 2466690847 Enrollment ID: I20250317001228 |
| Provider Name | Jaron C Marriott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396106837 PECOS PAC ID: 9931444320 Enrollment ID: I20250507002560 |
Thurman Psychological Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 E Kanesville Blvd, Suite #406, Council Bluffs, IA 51503 Phone: 402-715-4321 Fax: 402-715-4343 | |
Visinet Of Iowa, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 523 S Main St, Council Bluffs, IA 51503 Phone: 712-322-7800 | |
A Place For Grace Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S 1st St, Council Bluffs, IA 51503 Phone: 515-620-3284 | |
Heartland Family Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1722 Ave C, Council Bluffs, IA 51501 Phone: 712-435-5380 | |
Embrace Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 254 Elmwood Dr, Council Bluffs, IA 51503 Phone: 402-979-6150 | |
The Inroads Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 402-932-2248 Fax: 402-932-3557 | |
Cross Therapy Center Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Frank St, Council Bluffs, IA 51503 Phone: 712-256-9000 Fax: 712-256-7710 |