Organization
PLACER MANAGED CARE, LLC
Active
Organization
PLACER MANAGED CARE, LLC
Active
Other names
Conexus Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HARBERTS (VP, COMPLIANCE & ACCREDITATION)
(319) 243-5475
Entity
Organization
Contact information
Practice address
1111 VAN MILLER WAY, WATERLOO, IA 50701-1118
(319) 243-5475
Mailing address
PO BOX 4153, WATERLOO, IA 50704-4153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
122300000X
Dentist
—
—
171100000X
Acupuncturist
—
—
171R00000X
Interpreter
—
—
171WH0202X
Home Modifications Contractor
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
251E00000X
Home Health Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
314000000X
Skilled Nursing Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
3416A0800X
Air Ambulance
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
12/02/2015
Last updated
02/14/2024
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