Organization
PEOPLES COMMUNITY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KEMP CEO (CEO)
(319) 874-3000
Entity
Organization
Contact information
Practice address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 272-4300
(319) 272-4321
Mailing address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 874-3000
(319) 874-3411
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
01
—
15689
WELLMARK
IA
Enumeration date
10/07/2005
Last updated
10/02/2018
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