Organization
WAVERLY HEALTH CENTER
Active
Parent organization
WAVERLY HEALTH CENTER
Other names
Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAVERLY HEALTH CENTER
Authorized official
MS. JODI M GEERTS (CEO)
(319) 352-4120
Entity
Organization
Contact information
Practice address
312 9TH ST SW, SUITE 1000, WAVERLY, IA 50677-2916
(319) 483-4100
(319) 483-4101
Mailing address
312 9TH ST SW, SUITE 1000, WAVERLY, IA 50677-2916
(319) 483-4100
(319) 483-4101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
Primary
1260
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450494
—
IA
01
—
1260
PHARMACY LICENSE #
IA
01
—
1622213
NCPDP
IA
Enumeration date
01/12/2006
Last updated
06/05/2024
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