All Care Health Center, NPI 1114906906
Federally Qualified Health Center (FQHC) in Council Bluffs, IA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114906906
NPI Entity Type Organization
Provider Name All Care Health Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 902 S 6th St, Council Bluffs, IA, US
Provider Mailing Address 902 S 6th St, Council Bluffs, IA, US, 515016441
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Kim Sloboldnik
Official Position ACCOUNTS REC MANAGER
Phone 712-325-1990

Primary Taxonomy

Taxonomy Code

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

All Care Health Center
902 S 6th St

Council Bluffs, IA, US

Phone: 712-325-1990
Fax: 712-325-0288

Mailing Address

All Care Health Center
902 S 6th St
Council Bluffs, IA, US
ZIP 515016441
Phone: 712-325-1990
Fax: 712-325-0288

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QD0000X

Ambulatory Health Care Facilities

Clinic/Center

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
71160 IA WELLMARK 01
004587 IA WELLMARK 01
161803 IA MEDICARE UGS 01
161814 IA MEDICARE FQHC 01
49614 IA MEDICARE PART B 01
CH0630 IA RAILROAD MEDICARE 01
70630 IA WELLMARK 01
0188946 IA MEDICAID 05
70706 IA WELLMARK 01

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Organization

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PA-C Lisa Wells

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LISW Eva Ford

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DR. MD Bharatendu Chandra

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PHD Kimberly Chantelle Diah

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Anna Marietta Patch

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DR. M.D. Jorge H Perez-cardona

Individual

Hematology & Oncology Physician

1410 N 4th St

Clinton, IA

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