Eastern Iowa Health Center
Organization Active NPI Community/Retail Pharmacy · Cedar Rapids, IA
NPI 1346048675 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1346048675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- EASTERN IOWA HEALTH CENTER
- Practice address
- 400 12TH St SE
Cedar Rapids, IA 52403-4051 - Phone
- (319) 200-5140
- NPI assigned
- Mar 4, 2025
- Organization subpart
- No
Authorized official
- Name
- James Lock
- Title
- Ceo
- Phone
- (319) 730-7300
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 3
Practitioners 44
-
Nicole Marie Baccam, ARNP
-
Nicketa Burchell, DNP
-
Melanie Cathleen Cassell, ARNP
-
Bassel Eid, M.D.
-
Katherine Folkerts, DNP, FNP-C, PMHNP-C
-
Christina M Osborn, ARNP
-
Sidney J Smith, M.D.
-
Gretchen Marea Wenger, DNP, FNP-C
-
Elizabeth H Ball, LCSW
-
Amanda Folsom, PMHNP
-
Tia Lenee Gitgood, LMSW
-
Ashley Nicole Vanhoose, LCSW
-
Bradley A Chamberlain, LISW, LCSW
-
Joy S Mohr, PA-C
-
Sara Cathryn Olmstead, ARNP
-
Tiffany De la Pena, CPNP-PC
-
Allison Roe, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250512000679 | IA | Part B Supplier - Pharmacy | 0648364828 | Practice locations: Cedar Rapids, IA |
National Provider Directory
- Tax ID family
- Eastern Iowa Health Center
Locations
1030 5th Ave SE
Ste 2400
Cedar Rapids, IA 52403
1225 3rd Ave SE
Cedar Rapids, IA 52403
1210 4th Ave SE
Cedar Rapids, IA 52403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
400 12TH St SE
Cedar Rapids, IA 52403-4051
Mailing address
1030 5TH Ave SE Ste 2400
Cedar Rapids, IA 52403-2478
Phone (319) 730-7363
Other names
- Eastern Iowa Health Center Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://easterniowahealthcenter.com/ |
Other providers in Cedar Rapids, IA
- Ease in Essence, PLLC
- East Central Iowa Acute Care, PLLC
- Eastern Iowa Anesthesia PC
- Eastern Iowa Endodontics, PC
- Eastern Iowa Health Center
- Eastern Iowa Health Center
- Eastern Iowa Health Center
- Eastern Iowa Health Center
- Eastern Iowa Health Center
- Eastern Iowa Hearing Aid SVC
All providers in Cedar Rapids, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.