| Pella Regional Health Center | |
|
404 East 2nd Street Prairie City IA 50228-8829 | |
| (515) 994-2617 | |
| (515) 994-2365 |
| Full Name | Pella Regional Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 East 2nd Street, Prairie City, Iowa |
| Authorized Official Name and Position | Robert D. Kroese (CEO) |
| Authorized Official Contact | 6416286604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pella Regional Health Center 404 East 2nd Street Prairie City IA 50228-8829 Ph: (515) 994-2617 | Pella Regional Health Center 404 East 2nd Street Prairie City IA 50228-8829 Ph: (515) 994-2617 |
| NPI Number | 1497413637 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 9931005873 |
|---|---|
| Medicare Enrollment ID | O20211216000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497413637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gregory L. Ingle, D.o., P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Jefferson St., Prairie City, IA 50228 Phone: 515-994-2617 Fax: 515-994-2365 |