| Convenient Care Family Medicine And Walk-in Clinic | |
|
3502 Metro Dr Suite 200 Council Bluffs IA 51501-7761 | |
| (712) 256-7172 | |
| Not Available |
| Full Name | Convenient Care Family Medicine And Walk-in Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3502 Metro Dr, Council Bluffs, Iowa |
| Authorized Official Name and Position | Eyad F Kakish (OWNER) |
| Authorized Official Contact | 4025986995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Convenient Care Family Medicine And Walk-in Clinic 3502 Metro Dr Suite 200 Council Bluffs IA 51501-7761 Ph: (712) 256-7172 | Convenient Care Family Medicine And Walk-in Clinic 3502 Metro Dr Suite 200 Council Bluffs IA 51501-7761 Ph: (712) 256-7172 |
| NPI Number | 1982064846 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 1153620620 |
|---|---|
| Medicare Enrollment ID | O20160504002424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982064846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34436 (Iowa) | Primary |
| Provider Name | Eyad F Kakish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902892268 PECOS PAC ID: 8628976214 Enrollment ID: I20031219000807 |
| Provider Name | Connie S Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770954687 PECOS PAC ID: 1658681200 Enrollment ID: I20160610000547 |
| Provider Name | Samantha L Rambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144778424 PECOS PAC ID: 2163703364 Enrollment ID: I20170906001420 |
| Provider Name | Jami Jo Dowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295907 PECOS PAC ID: 1759626633 Enrollment ID: I20181220002499 |
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