# RIDGE FAMILY PRACTICE, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridge Family Practice, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053300020
- **Authorized official:** ANGELA L LUND (OFFICE MANAGER)
- **Authorized official phone:** (712) 322-5899

## Contact information

- **Practice address:** 201 RIDGE ST, SUITE 201, COUNCIL BLUFFS, IA 51503-4643
- **Practice address phone:** (712) 322-5899
- **Practice address fax:** (712) 322-5730
- **Mailing address:** 201 RIDGE ST STE 311, COUNCIL BLUFFS, IA 51503-4643
- **Mailing address phone:** (712) 322-5899
- **Mailing address fax:** (712) 322-5730

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 02/21/2022