Jchc Richland Clinic | |
107 W Harrison St Richland IA 52585-9549 | |
(641) 469-4309 | |
(641) 469-4440 |
Full Name | Jchc Richland Clinic |
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Speciality | Clinic/Center |
Location | 107 W Harrison St, Richland, Iowa |
Authorized Official Name and Position | Larry Dale Peach (CFO) |
Authorized Official Contact | 6414694304 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jchc Richland Clinic 2000 S Main St Fairfield IA 52556-9572 Ph: (641) 469-4309 | Jchc Richland Clinic 107 W Harrison St Richland IA 52585-9549 Ph: (641) 469-4309 |
NPI Number | 1881294536 |
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Provider Enumeration Date | 10/30/2020 |
Last Update Date | 11/02/2020 |
Medicare PECOS PAC ID | 9335059575 |
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Medicare Enrollment ID | O20031223000606 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881294536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Richard Walter Pretorius |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013900505 PECOS PAC ID: 4688561517 Enrollment ID: I20040303001216 |
Provider Name | Beth E Hothan Zielinski |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982683298 PECOS PAC ID: 1759270085 Enrollment ID: I20040313000381 |
Provider Name | Sarah A Von Harz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1447206289 PECOS PAC ID: 4587556741 Enrollment ID: I20040325000299 |
Provider Name | Pascuala Carmen Reyes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033165725 PECOS PAC ID: 8628061868 Enrollment ID: I20040405001240 |
Provider Name | Stephen J Goldman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750368528 PECOS PAC ID: 0143201483 Enrollment ID: I20040525000261 |
Provider Name | Christopher J Vandelune |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871598557 PECOS PAC ID: 5496726440 Enrollment ID: I20040803001238 |
Provider Name | Robert Goodwill |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346231842 PECOS PAC ID: 6709858764 Enrollment ID: I20040810000833 |
Provider Name | Barbara M White |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1619954740 PECOS PAC ID: 8022070481 Enrollment ID: I20041028000954 |
Provider Name | John T Bambara |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578555314 PECOS PAC ID: 6204853575 Enrollment ID: I20051026000363 |
Provider Name | Stephen M Ellestad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124009634 PECOS PAC ID: 3971527839 Enrollment ID: I20060118000424 |
Provider Name | Philip T Barns |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346222650 PECOS PAC ID: 0244248169 Enrollment ID: I20060403000770 |
Provider Name | Douglas A. Layton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831159193 PECOS PAC ID: 1153367321 Enrollment ID: I20060411000118 |
Provider Name | Matthew Obinna Nwaneri |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1588633564 PECOS PAC ID: 3476567686 Enrollment ID: I20060412000747 |
Provider Name | Stacy L Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821012188 PECOS PAC ID: 1658474028 Enrollment ID: I20070306000344 |
Provider Name | Robert Wayne Jackson |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1730293705 PECOS PAC ID: 3476448952 Enrollment ID: I20070312000392 |
Provider Name | Jay R Brewer |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1174633002 PECOS PAC ID: 0244333995 Enrollment ID: I20070316000463 |
Provider Name | Valerie K Mckinley |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023128501 PECOS PAC ID: 3274636949 Enrollment ID: I20070319000074 |
Provider Name | Susan L Roeder |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1487615340 PECOS PAC ID: 7416021548 Enrollment ID: I20080807000091 |
Provider Name | Gregory K Ivins |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1942211842 PECOS PAC ID: 0345325064 Enrollment ID: I20080915000208 |
Provider Name | Nicola Jane Stickney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942445937 PECOS PAC ID: 3476610585 Enrollment ID: I20090317000217 |
Provider Name | Jessica K Henderson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1841454055 PECOS PAC ID: 7911056304 Enrollment ID: I20090513000616 |
Provider Name | Sharon Kay Cozad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396776308 PECOS PAC ID: 1951457126 Enrollment ID: I20090914000571 |
Provider Name | Daniel D Coons |
---|---|
Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1013983428 PECOS PAC ID: 9436294907 Enrollment ID: I20100309000098 |
Provider Name | Jim A Buck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841308533 PECOS PAC ID: 2668501073 Enrollment ID: I20100524000458 |
Provider Name | David K Larson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891803508 PECOS PAC ID: 1052476165 Enrollment ID: I20100524000611 |
Provider Name | Michael E Poole |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821105537 PECOS PAC ID: 4789713116 Enrollment ID: I20100524000677 |
Provider Name | Mark J Haganman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801988415 PECOS PAC ID: 5395875629 Enrollment ID: I20100614000523 |
Provider Name | Donal D Hill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265547053 PECOS PAC ID: 7719940253 Enrollment ID: I20100709000133 |
Provider Name | Michael J Greiner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124133640 PECOS PAC ID: 6608839147 Enrollment ID: I20100709000153 |
Provider Name | Terry W Cochran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053326496 PECOS PAC ID: 7618930157 Enrollment ID: I20100709000186 |
Provider Name | Dustin C Bozwell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1245559343 PECOS PAC ID: 3678699642 Enrollment ID: I20100928000029 |
Provider Name | Amanda E Mckinley |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1871734582 PECOS PAC ID: 2062698244 Enrollment ID: I20110524000608 |
Provider Name | Tanetta C Main |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770548075 PECOS PAC ID: 6406865559 Enrollment ID: I20110615000156 |
Provider Name | Melissa D Gonzalez |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1760623391 PECOS PAC ID: 3971781824 Enrollment ID: I20110624000325 |
Provider Name | Katherine Hurst |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639377021 PECOS PAC ID: 5698953420 Enrollment ID: I20110628000355 |
Provider Name | Praveen Vikas |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1619162435 PECOS PAC ID: 7214003037 Enrollment ID: I20110711000446 |
Provider Name | Nilfar Karimova |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912155946 PECOS PAC ID: 3375714355 Enrollment ID: I20110923000036 |
Provider Name | Jonathan Isa Cutler |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982651311 PECOS PAC ID: 2466344254 Enrollment ID: I20111026000501 |
Provider Name | Bradly W Bussewitz |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1033441589 PECOS PAC ID: 3577694595 Enrollment ID: I20120126000855 |
Provider Name | Melissa Mahon |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003047820 PECOS PAC ID: 8123165313 Enrollment ID: I20120321000713 |
Provider Name | Abena A Krow-rodney |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639308737 PECOS PAC ID: 2466608682 Enrollment ID: I20120803000269 |
Provider Name | Leigh Gilburn |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235251562 PECOS PAC ID: 3173624418 Enrollment ID: I20121130000417 |
Provider Name | Andrew J Friessen |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1083891675 PECOS PAC ID: 7012192990 Enrollment ID: I20130806000774 |
Provider Name | Mary H Gartin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568894731 PECOS PAC ID: 7517191521 Enrollment ID: I20131007000732 |
Provider Name | Joni R Hanshaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396083531 PECOS PAC ID: 0345476495 Enrollment ID: I20131119000630 |
Provider Name | Sarah E Brecount |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952794661 PECOS PAC ID: 7517287642 Enrollment ID: I20150513001454 |
Provider Name | Jill Ferrell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427469857 PECOS PAC ID: 0547488785 Enrollment ID: I20150521000305 |
Provider Name | James Alexander Trent |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1285756007 PECOS PAC ID: 3577623586 Enrollment ID: I20150717001206 |
Provider Name | Sebastian M Harris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932547718 PECOS PAC ID: 8224252697 Enrollment ID: I20160803002720 |
Provider Name | Tiffany R Rhoades |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518415298 PECOS PAC ID: 5698063311 Enrollment ID: I20161013000243 |
Provider Name | Meghan E Wooster |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1710305628 PECOS PAC ID: 1052691789 Enrollment ID: I20170327000324 |
Provider Name | Vishaun E Lawrence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629473343 PECOS PAC ID: 5193047371 Enrollment ID: I20171027000577 |
Provider Name | Max D Gucilatar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1710950548 PECOS PAC ID: 8022375369 Enrollment ID: I20171122000376 |
Provider Name | Shayla L Rae |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942713888 PECOS PAC ID: 9234497017 Enrollment ID: I20171228000565 |
Provider Name | Nancy M Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346350246 PECOS PAC ID: 4880635838 Enrollment ID: I20180613002860 |
Provider Name | Jennifer L Cook |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1659877066 PECOS PAC ID: 8628323052 Enrollment ID: I20180626001159 |
Provider Name | Gloria R Lafollette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265960884 PECOS PAC ID: 5294004933 Enrollment ID: I20180723002125 |
Provider Name | Michelle E Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134551013 PECOS PAC ID: 4587899323 Enrollment ID: I20180726000978 |
Provider Name | Scott M Stoeger |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255569950 PECOS PAC ID: 0042437758 Enrollment ID: I20180817002035 |
Provider Name | Josefina Foreman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942678016 PECOS PAC ID: 9739480716 Enrollment ID: I20181109002151 |
Provider Name | Shawnee L Kellison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063495463 PECOS PAC ID: 8325053531 Enrollment ID: I20190507002636 |
Provider Name | Mandy J Hunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316338593 PECOS PAC ID: 4082931365 Enrollment ID: I20190522001248 |
Provider Name | Luann B Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649321860 PECOS PAC ID: 5597852822 Enrollment ID: I20190708000277 |
Provider Name | Winn H Gregory |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831105923 PECOS PAC ID: 7113116864 Enrollment ID: I20190711002112 |
Provider Name | Brian K Marovets |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043661788 PECOS PAC ID: 5597058875 Enrollment ID: I20190812000676 |
Provider Name | Richard N Curtis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548619356 PECOS PAC ID: 6002108883 Enrollment ID: I20190812003311 |
Provider Name | Misty Kleinmeyer |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972034528 PECOS PAC ID: 1557698321 Enrollment ID: I20190816001498 |
Provider Name | Atabak Kermani |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407383870 PECOS PAC ID: 4880963842 Enrollment ID: I20191217000966 |
Provider Name | Nathan M Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881044089 PECOS PAC ID: 4880986280 Enrollment ID: I20200407003365 |
Provider Name | Viviane St.cloud-noel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033608013 PECOS PAC ID: 9234550948 Enrollment ID: I20200604003231 |
Provider Name | Raheel Jiwan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407377609 PECOS PAC ID: 9335419407 Enrollment ID: I20200609002911 |
Provider Name | Taylor Madison Buch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891318564 PECOS PAC ID: 8123441110 Enrollment ID: I20200709001105 |
Provider Name | Theresa Newbanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528460847 PECOS PAC ID: 9436370137 Enrollment ID: I20200720003249 |
Provider Name | Mark Boswell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1245737675 PECOS PAC ID: 8224455506 Enrollment ID: I20200901002233 |
Provider Name | Mallory Hoover |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144816406 PECOS PAC ID: 3375943988 Enrollment ID: I20210617002277 |
Provider Name | Heather Clarson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326443144 PECOS PAC ID: 0840513875 Enrollment ID: I20211101002281 |
Provider Name | Arnold J Feltoon |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639124050 PECOS PAC ID: 6608765219 Enrollment ID: I20211201000140 |
Provider Name | Yeop Reeo Kim |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1134430408 PECOS PAC ID: 5092952374 Enrollment ID: I20211201002124 |
Provider Name | Laith Mahdi |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578001160 PECOS PAC ID: 9931484318 Enrollment ID: I20220411000728 |
Provider Name | Shelby Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730600974 PECOS PAC ID: 0840562021 Enrollment ID: I20221003002338 |
Provider Name | Nancy L Dovin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427147990 PECOS PAC ID: 3173523255 Enrollment ID: I20230105000282 |
Provider Name | Matthew Bednarchik |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1124391552 PECOS PAC ID: 5092974741 Enrollment ID: I20230906003164 |
Provider Name | Grant M Landon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255956975 PECOS PAC ID: 0446673149 Enrollment ID: I20230911001316 |
Provider Name | Travis D Rath |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386265734 PECOS PAC ID: 9234555384 Enrollment ID: I20231017000769 |
Provider Name | Subba Alapati |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487642039 PECOS PAC ID: 7012974686 Enrollment ID: I20231101002337 |
Provider Name | Ginger Torrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568991206 PECOS PAC ID: 4688945165 Enrollment ID: I20231114002355 |
Provider Name | Treve Henwood |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548233497 PECOS PAC ID: 2860423597 Enrollment ID: I20240221002951 |
River Hills Community Health Center Keokuk Co Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W Main St, Richland, IA 52585 Phone: 319-456-2045 Fax: 319-456-2044 |