| United Community Health Center Inc. | |
|
715 W Milwaukee Ave Storm Lake IA 50588-1564 | |
| (712) 213-0109 | |
| (712) 213-0186 |
| Full Name | United Community Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 W Milwaukee Ave, Storm Lake, Iowa |
| Authorized Official Name and Position | Renea Lynn Seagren (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7122130109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Community Health Center Inc. 715 W Milwaukee Ave Storm Lake IA 50588-1564 Ph: (712) 213-0109 | United Community Health Center Inc. 715 W Milwaukee Ave Storm Lake IA 50588-1564 Ph: (712) 213-0109 |
| NPI Number | 1043268659 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 11/01/2009 |
| Medicare PECOS PAC ID | 1456362615 |
|---|---|
| Medicare Enrollment ID | O20060601000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043268659 | NPI | - | NPPES |
| 0488296 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Chris Carlisle Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679657803 PECOS PAC ID: 1658327697 Enrollment ID: I20050323000687 |
| Provider Name | Patricia J Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558342121 PECOS PAC ID: 0244222651 Enrollment ID: I20050707000318 |
| Provider Name | Lisa J Krause-reinert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477520633 PECOS PAC ID: 9830281500 Enrollment ID: I20070827000057 |
| Provider Name | Robert Lester Whitmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346358991 PECOS PAC ID: 1254436413 Enrollment ID: I20090313000447 |
| Provider Name | Natalie K Schaller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265753669 PECOS PAC ID: 8325275282 Enrollment ID: I20131220001510 |
| Provider Name | Tessa J Rydberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033576616 PECOS PAC ID: 5991003535 Enrollment ID: I20160414000337 |
| Provider Name | Traci L Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811442957 PECOS PAC ID: 8921393943 Enrollment ID: I20160829003367 |
| Provider Name | Mallory Lynn Roling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902259161 PECOS PAC ID: 1951685312 Enrollment ID: I20170302000858 |
| Provider Name | Miranda D Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982122024 PECOS PAC ID: 9739448242 Enrollment ID: I20180108003058 |
| Provider Name | Jill R Weideman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588138556 PECOS PAC ID: 7911244793 Enrollment ID: I20190201000797 |
| Provider Name | Steffany Jean Hinkeldey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154960383 PECOS PAC ID: 2961831193 Enrollment ID: I20200408004543 |
| Provider Name | Tammi A Matt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093325656 PECOS PAC ID: 3476972787 Enrollment ID: I20201005002931 |
| Provider Name | Jani Lynn Boothby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407450141 PECOS PAC ID: 5294140166 Enrollment ID: I20210226002461 |
| Provider Name | Anasara Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639694532 PECOS PAC ID: 5991061780 Enrollment ID: I20210528000920 |
| Provider Name | Rebecca Kay Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891421442 PECOS PAC ID: 2860864642 Enrollment ID: I20230203000425 |
Buena Vista County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1709 Richland Dr, Storm Lake, IA 50588 Phone: 712-749-2548 Fax: 712-749-2549 | |
Trinity Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Northwestern Dr Ste 1, Storm Lake, IA 50588 Phone: 712-732-5030 Fax: 712-732-2538 | |
Mercy Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 W Milwaukee Ave, Storm Lake, IA 50588 Phone: 712-732-9600 Fax: 712-732-9601 | |
Trinity Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2015 W 5th St, Storm Lake, IA 50588 Phone: 712-732-6650 Fax: 712-732-6632 |