| Bluffs Family Health Care Pc | |
|
3434 W Broadway Council Bluffs IA 51501-3291 | |
| (712) 325-0022 | |
| (712) 325-8102 |
| Full Name | Bluffs Family Health Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3434 W Broadway, Council Bluffs, Iowa |
| Authorized Official Name and Position | Molly Rankin (OFFICE MANAGER) |
| Authorized Official Contact | 7123250022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluffs Family Health Care Pc 3434 W Broadway Council Bluffs IA 51501-3291 Ph: (712) 325-0022 | Bluffs Family Health Care Pc 3434 W Broadway Council Bluffs IA 51501-3291 Ph: (712) 325-0022 |
| NPI Number | 1194898296 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 09/25/2014 |
| Medicare PECOS PAC ID | 0446298061 |
|---|---|
| Medicare Enrollment ID | O20070117000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194898296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Matthew F Fryzek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417020595 PECOS PAC ID: 6103827118 Enrollment ID: I20070117000513 |
| Provider Name | Joseph Matthew Wanzek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164538674 PECOS PAC ID: 0749203198 Enrollment ID: I20090724000585 |
| Provider Name | Emily Sue Wickham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073254439 PECOS PAC ID: 1153777123 Enrollment ID: I20231214002130 |
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