| Manning Regional Healthcare Center | |
|
1550 6th St Manning IA 51455-1004 | |
| (712) 655-2072 | |
| (712) 655-3330 |
| Full Name | Manning Regional Healthcare Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1550 6th St, Manning, Iowa |
| Authorized Official Name and Position | John O'brien (CEO) |
| Authorized Official Contact | 17126552072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manning Regional Healthcare Center 1550 6th St Manning IA 51455-1004 Ph: (712) 655-2072 | Manning Regional Healthcare Center 1550 6th St Manning IA 51455-1004 Ph: (712) 655-2072 |
| NPI Number | 1306969175 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 02/27/2015 |
| Medicare PECOS PAC ID | 7618960840 |
|---|---|
| Medicare Enrollment ID | O20040405001163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306969175 | NPI | - | NPPES |
| 41512 | Other | IA | BLUE CROSS RADIOLOGY # |
| 40538 | Other | IA | BLUE CROSS ER DR # |
| 0146332 | Medicaid | IA |
| Provider Name | Karla M Manternach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780745356 PECOS PAC ID: 0547174518 Enrollment ID: I20031113000837 |
| Provider Name | Douglas G Mclaws |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922069681 PECOS PAC ID: 3274526108 Enrollment ID: I20040406001638 |
| Provider Name | Bret D Heileson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912982075 PECOS PAC ID: 5496740573 Enrollment ID: I20040419000035 |
| Provider Name | Haysam Akkad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013997741 PECOS PAC ID: 9739072778 Enrollment ID: I20040802000119 |
| Provider Name | Rodney J Dean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528037082 PECOS PAC ID: 3870585813 Enrollment ID: I20050303001054 |
| Provider Name | Steven J Stokesbary |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447253778 PECOS PAC ID: 0840352548 Enrollment ID: I20100818000747 |
| Provider Name | Andrew E Bourne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346462702 PECOS PAC ID: 7113104498 Enrollment ID: I20110614000631 |
| Provider Name | Jeremy Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982049912 PECOS PAC ID: 0042459869 Enrollment ID: I20130626000628 |
| Provider Name | Jitendra B Pandya |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528355138 PECOS PAC ID: 7810123486 Enrollment ID: I20131204001364 |
| Provider Name | Leanne Marie Vitito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992774426 PECOS PAC ID: 9931102100 Enrollment ID: I20151229001818 |
| Provider Name | Rae Marie Mcdivitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770931412 PECOS PAC ID: 0143514810 Enrollment ID: I20160803003055 |
| Provider Name | Benjamin Blaylock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154708170 PECOS PAC ID: 6709156565 Enrollment ID: I20170727000192 |
| Provider Name | Thang N Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053791681 PECOS PAC ID: 2769795608 Enrollment ID: I20181010000241 |
| Provider Name | Samantha J Specht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982066593 PECOS PAC ID: 2264785112 Enrollment ID: I20181023003725 |
| Provider Name | David A Denman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689618621 PECOS PAC ID: 6002825346 Enrollment ID: I20181109000822 |
| Provider Name | Kelli Borkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245717263 PECOS PAC ID: 7618212986 Enrollment ID: I20181214002688 |
| Provider Name | Taya N Vonnahme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467031575 PECOS PAC ID: 8325456940 Enrollment ID: I20210421000227 |
| Provider Name | Sara Marie Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952972853 PECOS PAC ID: 2567868276 Enrollment ID: I20210903001912 |
| Provider Name | Brittany J Bremser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326735648 PECOS PAC ID: 3072971720 Enrollment ID: I20230628000850 |
| Provider Name | Dina L Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033890918 PECOS PAC ID: 6103287206 Enrollment ID: I20230807000575 |
| Provider Name | Nicole Weyers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487498747 PECOS PAC ID: 0446791057 Enrollment ID: I20240924000332 |
Lifeskills Connection Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1500 W 3rd St, Manning, IA 51455 Phone: 563-370-7995 Fax: 563-888-1350 |