# FAMILY HEALTH CENTER OF WATERLOO, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003013731
- **Authorized official:** ELLEN L. SAKORNBUT (OWNER)
- **Authorized official phone:** (319) 226-4400

## Contact information

- **Practice address:** 220 W RIDGEWAY AVE, SUITE 106, WATERLOO, IA 50701-4200
- **Practice address phone:** (319) 226-4400
- **Practice address fax:** (319) 226-4401
- **Mailing address:** 220 W RIDGEWAY AVE, SUITE 106, WATERLOO, IA 50701-4200
- **Mailing address phone:** (319) 226-4400
- **Mailing address fax:** (319) 226-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 12/16/2009