Manning Family Healthcare Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MANNING FAMILY HEALTHCARE CLINIC PC

Practice address

321 Center St
Manning, IA 51455-1020

Phone

(712) 655-2551

Fax

(712) 655-2579

NPI assigned

Sep 20, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen A Reinke, BS-HCM, CMA-C

Title

Clinic Administrator

Phone

(712) 655-2551

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• P. L. Myer DO PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy L Kahl, D. O.

  • Family Medicine Physician
  • Onawa, IA
  • NPI 1104812783

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1659367241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CENTER ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551020",
            "telephone_number": "712-655-2551",
            "fax_number": "712-655-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CENTER ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551020",
            "telephone_number": "712-655-2551",
            "fax_number": "712-655-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING FAMILY HEALTHCARE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "REINKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "712-655-2551",
        "authorized_official_credential": "BS-HCM, CMA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112920",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P. L. Myer DO PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lifeskills Connection Inc.
• Dalton Timothy Lytle, CADC
• Manning Betterment Foundation
• Manning CSD
• Manning Dental LLC
• Manning Regional Healthcare Center
• Manning Regional Healthcare Center
• Manning Regional Healthcare Center
• Manning Regional Healthcare Center
• Manning Regional Healthcare Center

• All providers in Manning, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.