Iowa Physicians Clinic Medical Foundation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Practice address

800 S Fillmore St Ste a
Osceola, IA 50213-1619

Phone

(641) 342-2128

Fax

(641) 342-3179

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Chad A Baedke

Title

Director of Billing

Phone

(515) 574-6112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Unity Point Clinic-Family Medicine-Clarke County Doing business as
• UnityPoint Clinic Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Clarke County Public Hospital

  • Rural Health Clinic/Center
  • Osceola, IA
  • NPI 1851856132

  Sold to, 2019-07-01

  CMS change of ownership

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740700533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S FILLMORE ST STE A",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131619",
            "telephone_number": "641-342-2128",
            "fax_number": "641-342-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FILLMORE ST STE A",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131619",
            "telephone_number": "641-342-2128",
            "fax_number": "641-342-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAEDKE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "515-574-6112"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366425274",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Point Clinic-Family Medicine-Clarke County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UnityPoint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hy-Vee Inc
• Infinity Health
• Infinity Health
• Infinity Health
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Brian Jacobs, CRNA
• Julia C Jenkins, DO
• John W Meyer, DDS, P.C.
• Roger Erven Kentner, RPH

• Rural Health Clinic/Center in Osceola, IA
• Providers in Osceola, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.