participant cliniccounty clinic name clinic address … folder/a... · cliniccounty clinic name...
TRANSCRIPT
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Adams Prior Authorization 601 Rosary Drive Corning 50841 Okpagu Brittany Corning Adams
Closed -
Unreachable
Allamakee Prior Authorization 105 E Main St Waukon 52172 Ross Ben Postville Allamakee
Closed - Intake
Only
Appanoose Mercy Medical Clinic Centerville 19876 St Joseph Dr Centerville 52544 Belloma Carol Centerville Appanoose Closed - Enrolled
Appanoose Prior Authorization 19876 St Joseph Centerville P Cassie Centerville Appanoose
Closed -
Unreachable
Audubon Audubon Family Healthcare 50025 Irlmeier Anissa Audubon Audubon
Closed -
Unreachable
Audubon Audubon Family Healthcare Clinic 50025 Stubbs Christopher Audubon Audubon
Closed -
Unreachable
Benton Atkins Family Medical Center Vogeler Stephanie Cedar Rapids Linn
Closed -
Unreachable
BlackHawk Greenhill 1015 S Hackett Rd Waterloo 50701 Christ Meredith Waterloo Black Hawk Closed - Enrolled
BlackHawk Covenant Clinic 50702 Pathmanathan Suba Waterloo Black Hawk Closed - Declined
BlackHawk Covenant Medical Center 50702 Mustafic Unknown Waterloo Black Hawk
Closed -
Unreachable
BlackHawk Partners in Ob/Gyn 50702 Solheim Karla Waterloo Black Hawk Closed - Duplicate
BlackHawk Prior Authorization
2055 Kimball Ave Ste
400 Waterloo 50702 Bernstrom Mitchel Waterloo Black Hawk
Closed - Intake
Only
BlackHawk Family Medicine Waterloo Unity Point Clinic 50703 Gettman Suzanne Independence Buchanan
Closed -
Unreachable
BlackHawk Family Medicine Waterloo UnityPoint Clinic 50703
Martha Hall /
Timothy Waterloo Black Hawk Closed - Duplicate
BlackHawk People Community Health Clinic 50703 Ijaz Kiran Waterloo Black Hawk
Closed - Intake
Only
BlackHawk Peoples Community Health Clinic 905 Franklin st Waterloo 50703 Waterloo Black Hawk
Closed -
Unreachable
BlackHawk Peoples Community Health Clinic 50703 Gutz Emily Waterloo Black Hawk Closed - Declined
BlackHawk Peoples Community Health Clinic 50703 Kane Sarah Waterloo Black Hawk Closed - Enrolled
BlackHawk Prior Authorization 3562 Lafayette Rd Evansdale 50707 Crawford Tammy Evansdale Black Hawk
Closed -
Unreachable
BlackHawk Prior Authorization 3562 Lafayette Road Evansdale 50707 Crawford Tammy Evansdale Black Hawk
Closed -
Unreachable
BlackHawk Covenant Clinic Pathimanathan Suba Waterloo Black Hawk
Closed -
Unreachable
BlackHawk COVENANT MIDWIVES & WOMEN'S HEALTH Closed - Invalid
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
BlackHawk Family Medicine Waterloo Waterloo Black Hawk Closed - Enrolled
BlackHawk Family Medicine Waterloo Hall Martha Waterloo Black Hawk
Closed - Already
Participating
BlackHawk FM waterloo Horrigan TIm Waterloo Black Hawk Closed - Enrolled
BlackHawk PEOPLES COMMUITY HEALTH CLINIC IJAZ KIRAN Waterloo Black Hawk
Closed -
Unreachable
BlackHawk Peoples Community Health Clinic Bonthuis Heidi Evansdale Black Hawk Closed - Enrolled
BlackHawk PEOPLES COMMUNITY HEALTH CLINIC GUTZ EMILY Waterloo Black Hawk Closed - Enrolled
BlackHawk Prior Authorization 601 Highway 218 N Renaud Troy La Porte City Black Hawk Closed - Enrolled
Boone Boone County Comp Specialty 50036 McIntire Tracey Coon Rapids Carroll
Closed -
Unreachable
Boone
BOONE COUNTY COMPREHENSIVE
SPECIALTY CLINIC 564 K AVENUE BOONE 50036 TEMPLE DR. Boone Boone
Closed -
Unreachable
Boone
Boone County Comprehensive Specialty
Clinic 50036 Temple Dr Boone Boone Closed - Duplicate
Boone Comprehensive Specialty Care
1015 Union St Suite
120 Boone 50036 McIntire Tracy
Closed -
Unreachable
Bremer Waverly Health Center Tripoli Bremer
Closed -
Unreachable
Bremer Waverly Health Center- Women's Clinic Rathe Ann Nashua Chickasaw
Closed -
Unreachable
Buchanan Prior Authorization 1094 220th Street Jesup 50648 Feldkamp Mark Independence Buchanan Closed - Declined
Butler People's Clinic Butler County 50619 Hoelscher Courtney Clarksville Butler
Closed -
Unreachable
Butler Greene Family Clinic - Mercy 50636 Bischott Patricia Greene Butler Closed - Declined
Butler Greene Family Clinic - Mercy 50636 Bischott Patricia Greene Butler Closed - Declined
Butler Prior Authorization 502 3rd Street Parkersburg 50665 Rekers Gina Closed - Enrolled
Carroll Iowa Heart Center 405 S Clark St Carroll 51401 Feijofsky Suzanne Lake City Calhoun Closed - Enrolled
Carroll Prior Authorization
515 North Main
Street Carroll 51401 Iler Linda Carroll Carroll Closed - Invalid
CerroGordo Mercy Interrnal Medicine 50401 Hedrick Lisa Mason City Cerro Gordo Closed - Enrolled
CerroGordo Mercy Medical Center North Iowa 1000 4th St SW Mason City 50401 Taleb Ameen Charles City Floyd Closed - Enrolled
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
CerroGordo Prior Authorization 1010 4th St Suite 240 Mason City 50401 Roy Denul Mason City Cerro Gordo Closed - Invalid
CerroGordo Prior Authorization
1010 4th st sw suite
340 Mason City 50401 Singh Jasjit Mason City Cerro Gordo
Closed -
Unreachable
CerroGordo Prior Authorization
1010 4th Street SW,
Suite 340 Mason City Singh Jasjit
Closed - Intake
Only
Cherokee Cherokee Regional Clinic 300 Sioux Valley Dr Cherokee 51012 Vandelune Chris Cherokee
Closed - Intake
Only
Cherokee Cherokee Regional Clinic 300 Sioux Valley Dr Cherokee 51012 DeRoo Brenda Cherokee Closed - Declined
Cherokee Cherokee Regional Clinic 300 Soiux Valley Dr Cherokee 51012
Mogensen-
Kruger Rebecca Holstein
Closed -
Unreachable
Cherokee Prior Authorization 300 Sioux Valley Dr Cherokee 51012 Vandclune Christopher Cherokee Cherokee Closed - Enrolled
Clay Avera Medical Group Spencer 51301 Peterson Jeffrey Spencer Clay Closed - Declined
Clay Avera Medical Group 51334 Cook Anthony Estherville Emmet Closed - Duplicate
Clay Avera Medical Grp Cook Anthony Estherville Emmet
Closed -
Unreachable
Clay Prior Authorization 337 11th Street SW Spencer Nelson Kathryn Sibley Osceola
Closed - Already
Participating
Clayton Prior Authorization 200 Main Guttenberg 52052 Dikkers Michele Mc Gregor Clayton Closed - Enrolled
Clayton Regional Family Health 702 W Union St Edgewood Christiansen Scot Independence Buchanan Closed - Enrolled
Clinton Community Health Care 52732 Fuller Ashley Clinton Clinton
Closed -
Unreachable
Clinton Community Health Care 52732 Fuller Ashley Clinton Clinton Closed - Duplicate
Clinton MMc-C 52732 Delmar Clinton
Closed -
Unreachable
Clinton Prior Authorization 507 South 4th Street Clinton 52732 Alqulali Mona Clinton Clinton
Closed -
Unreachable
Clinton Prior Authorization
915 13th Avenue
North Clinton 52732 Kauffman Thersa Clinton Clinton Closed - Invalid
Clinton MMc-C Clinton Clinton
Closed -
Unreachable
Clinton MMc-C Camanche Clinton Closed - Enrolled
Clinton Dr Osaro Osaro Clinton Clinton Closed - Enrolled
Dallas MMC ADEL 1120 Greene St Adel 50003 Baltzell Christopher Adel Dallas Closed - Enrolled
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Dallas Merry Clinic Perry Perry 50220 Sohnivej Steven Perry Dallas Closed - Enrolled
Dallas Prior Authorization 30 E Hickman Rd Waukee 50263 Kemp Jenna
West Des
Moines Polk Closed - Ineligible
Dallas Prior Authorization 30 East Hickman Road Waukee 50263 Engel-Brower Hanna Waukee Dallas Closed - Enrolled
Dallas Mercy Clinic Perry Soha Steven Woodward Dallas Closed - Declined
Dallas Mercy Family Care-Perry Noble Jason Polk City Polk
Closed -
Unreachable
Decatur Community Health Centers of Southern Iowa 302 NW 14th St Leon 50144 Spearl Jennifer Leon Decatur
Closed -
Unreachable
Decatur Prior Authorization 302 NE 14th Street Leon 50144 Allen Nathan Garden Grove Decatur
Closed -
Unreachable
DesMoines COMMUNITY HEALTH CENTER 52655 Zwanziger Rebecca Burlington Des Moines
Closed -
Unreachable
DesMoines Community Health Center Southeast Iowa 52655 Lhrig DR TIMOTHY
Closed - Intake
Only
DesMoines
Great River Medical Center - Respiratory
Care 52655 Kiswani-Barley Dr Burlington Des Moines
Closed -
Unreachable
DesMoines Prior Authorization 1225 S Gear Ave
West
Burlington 52655 Keokuk Lee
Closed -
Unreachable
DesMoines BAFP
1225 S Gear Ave Ste
159 W Burl Lake Lisa Burlington Des Moines
Closed -
Unreachable
DesMoines COMMUNITY HEALTH CENTER SE IA Closed - Invalid
DesMoines Great River Medical Center Wapello Louisa
Closed -
Unreachable
Douglas Prior Authorization 10109 Maple Street Omaha 68134 Janssen Misty Council Bluffs Pottawattamie Closed - Enrolled
Douglas Prior Authorization 10109 Maple Street Omaha 68134 Janssen Misty Council Bluffs Pottawattamie Closed - Enrolled
Dubuque Care for Yourself 52001
Visiting Nurse
Association Dubuque Dubuque
Closed -
Unreachable
Dubuque MEDICAL ASSOCIATES 52001 STILLE DR RYAN Dubuque Dubuque Closed - Enrolled
Dubuque Medical Associates 52001 Wetscher Sara Dubuque Dubuque
Closed -
Unreachable
Dubuque Unity Point Clinic Finley Cardiology
350 North Grandview
Ave Suite G3300 Dubuque 52001 Khan Tauseef Dubuque Dubuque
Closed -
Unreachable
Dubuque Unity Point Clinic Finley Cardiology
350 North Grandview
Ave Suite G3300 Dubuque 52001 Kahn Tauseef Dubuque Dubuque Closed - Enrolled
Dubuque Medical Associates Family Medicine Wetscher Sara Dubuque Dubuque
Closed - Already
Participating
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Fayette Covenant Clinic 50662 Davis Gayla Fairbank Buchanan
Closed -
Unreachable
Fayette COVENANT CLINIC 50662 Davis Gayla Closed - Declined
Fayette Prior Authorization 129 8th Avenue SE Oelwein 50662 Dalil Nasredin Oelwein Fayette Closed - Enrolled
Floyd Prior Authorization 1501 S Main St Ste 1 Charles City 50616 Schweiler David Charles City Floyd
Closed -
Unreachable
Franklin MCRHC Osage Clinic 620 N 8th st Osage 50431 Haganman Mark Osage Mitchell Closed - Duplicate
Fremont Medical Clinic PC 51640 Parshall Kylie Sidney Fremont Closed - Enrolled
Fremont Medical Clinic PC 51653 Golden Kristin Tabor Fremont
Closed -
Unreachable
Guthrie GCH Clinics 50216 Strehle Josh Panora Guthrie
Closed -
Unreachable
Guthrie GCH Clinic Stuart 50250 McCleary Michael Stuart Guthrie
Closed - Already
Participating
Guthrie GCH Clinic McCleary Michael Stuart Guthrie Closed - Enrolled
Hamilton Vandiest Family Clinic 2350 Hospital Dr 50595 Duerr Kathryn Webster City Hamilton
Closed -
Unreachable
Hamilton Vandiest Family Clinic 50595 Ehn Nicole Jewell Hamilton
Closed -
Unreachable
Hardin Iowa Falls Clinic 50126 Schmidt Erin Hampton Franklin
Closed - Intake
Only
Hardin Prior Authorization 920 South Oak Street Iowa Falls 50126 Scott Sarah Coulter Franklin
Closed -
Unreachable
Hardin McFarland Clinic 7413 Eddington Ave Eldora 50627 Henken Abigal Eldora Hardin Closed - Enrolled
Hardin McFarland Clinic Eldora 50627 Heiar Aaron Eldora Hardin Closed - Duplicate
Hardin Prior Authorization 2413 Edginton Ave Eldora 50627 Heiar Aaron Eldora Hardin Closed - Ineligible
Harrison CHI Logan 51546 Grady Carrie Logan Harrison Closed - Enrolled
Harrison CHi Logan 51546 Grady Carrie Logan Harrison
Closed - Already
Participating
Harrison CHI Logan 51546 Alvis Nathaniel Logan Harrison
Closed - Already
Participating
Harrison CHI Logan 51546 Alvis Nathaniel Logan Harrison Closed - Enrolled
Howard Cresco Medical Clinic 52136 Schlangen Tracey Elma Howard Closed - Duplicate
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Howard CVESCO Medical Clinic 52136 Schlangen Tracey Elma Howard
Closed -
Unreachable
Howard Prior Authorization 321 8th Avenue West Cresco 52136 Dutka Jessica Cresco Howard Closed - Enrolled
Iowa Williamsburg Family Medical Clinic 498 N Highland St Williamsburg 52361 Malloy Michelle Brooklyn Poweshiek Closed - Enrolled
Iowa Williamsburg Family Medical Clinic 498 N Highland St Williamsburg 52361 mALLORY mICHELLE Deep River Poweshiek Closed - Enrolled
Jackon Maquokita Family Clinic 52060 Lakin Alyssa Maquoketa Jackson Closed - Declined
Jackson Medical Associates 52060 Petersen Eric Maquoketa Jackson Closed - Ineligible
Jasper Newton Clinic, PC
300 North 4th Avenue
East, Suite 200 Newton 50208 Chan Ty Marshalltown Marshall
Closed -
Unreachable
Jasper Newton Clinic, PC
300 North 4th Avenue
East, Suite 200 Newton 50208 Bantell Stephanie Newton Jasper Closed - Ineligible
Johnson Prior Authorization 1130 S Scott Blvd Iowa City 52240 Lentesnier Matthew Iowa City Johnson
Closed -
Unreachable
Johnson Family Medicine Iowa River Landing East 52241 Banu Hussain Goose Lake Clinton
Closed - Intake
Only
Johnson Family Medicine Iowa River Landing East 52241 Banu Hussain Goose Lake Clinton Closed - Duplicate
Johnson Iowa River Landing East Family Medicine 52241 Shaik Shalina Keokuk Lee
Closed -
Unreachable
Johnson Dental Special Geriatric Dept 322 Dental Science Iowa CIty 52242 Wells Eldridge Scott Closed - Enrolled
Johnson Family Medicine 200 Hawkins Dr Iowa City 52242 Ray Brigit West Branch Cedar
Closed -
Unreachable
Johnson Internal Medicine 200 Hawkins Dr Iowa City 52242 Barker Jason Cedar Falls Black Hawk
Closed -
Unreachable
Johnson Periodontics Clinic Univeristy of IA 52242 Humbert Davenport Scott
Closed -
Unreachable
Johnson UIHC 200 HAWKINS DR IOWA CITY 52242
Closed -
Unreachable
Johnson UIHC - Family Medicine 200 Hawkins Drive Iowa City 52242 Wilcox Garrett Iowa City Johnson Closed - Enrolled
Johnson UIHC Family Med 200 Hawkins Dr Iowa city 52242 Apantaku Elora North English Iowa
Closed -
Unreachable
Johnson University of Iowa Hospitals & Clinics 200 Hawkins Dr Iowa City 52242 Krause Sara Casey Guthrie
Closed -
Unreachable
Johnson Prior Authorization 200 Hawkins Drive Iowa City 52243 Terveen Margaret Cedar Rapids Linn
Closed - Intake
Only
Johnson Prior Authorization 1067 Ryan Court Iowa City 52246 Shi Mei Iowa City Johnson
Closed -
Unreachable
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Johnson Prior Authorization 3 Lions Dr N Liberty 52317 Farrell Angela North Liberty Johnson Closed - Declined
Johnson Johnson County Public Health Iowa City Johnson
Closed -
Unreachable
Johnson Prior Authorization 1765 Lininger Lane North Liberty Taeger Vincent Cedar Rapids Linn
Closed - Already
Participating
Johnson IA River Landing East Family Med Robinson Kathleen Iowa City Johnson
Closed -
Unreachable
Johnson IRL East Family Medicine Shaik Shalina Bennett Cedar
Closed -
Unreachable
Johnson UHIC Ambulatory Care Neutson Andrea Davenport Scott
Closed - Intake
Only
Jones Prior Authorization 1791 Hwy 64 E Anamosa 52205 Schepanski Alissa Tipton Cedar
Closed -
Unreachable
jones EASTERN IOWA HOME HEALTH CARE 52310 Anamosa Jones Closed - Duplicate
Keokuk KCHC Medical Clinic 1314 Stuart Sigourney 52591 Edwards Shelly What Cheer Keokuk Closed - Enrolled
Kossuth Kossuth Regional Health Center Grindberg Algona Kossuth
Closed - Intake
Only
Linn Prior Authorization 200 Virgil Ave Mt Vernon 52314 Daniels Ben Marion Linn
Closed -
Unreachable
Linn Mercycare Community Physicians
600 7th St SE Suite
101 Cedar Rapids 52401 Meeker Monica Cedar Rapids Linn
Closed -
Unreachable
Linn Monica Meeker
600 7th Street SE,
Suite 101 Cedar Rapids 52401 Meeker Monica Cedar Rapids Linn Closed - Enrolled
Linn Prior Authorization
600 7th Street SE,
Suite 101 Cedar Rapids 52401 Meeker Monica Cedar Rapids Linn
Closed -
Unreachable
Linn Eastern Iowa Health Center 52402 Cedar Rapids Linn Closed - Duplicate
Linn Prior Authorization 855 A Ave NE #200 Cedar Rapids 52402 Kapfhamer Kristy Cedar Rapids Linn
Closed -
Unreachable
Linn UnityPoint Multi-Specialty Clinic 52402 Anwer Muhammad Cedar Rapids Linn
Closed -
Unreachable
Linn Eastern Iowa Health Center 52403 Matura Ramya Marion Linn
Closed -
Unreachable
Linn Eastern Iowa Health Center 52403 Maturu Ramya Cedar Rapids Linn
Closed -
Unreachable
Linn Mercy Care Vernon Village
3933 Mt Vernon Rd
SE Cedar Rapids 52403 Soenen Ann Cedar Rapids Linn Closed - Declined
Linn Prior Authorization 1444 2 Ave SE Cedar Rapids 52403 Ramsey Merrilee Cedar Rapids Linn Closed - Enrolled
Linn Prior Authorization 830 4th Ave 8E Ste 1 Cedar Rapids 52404 Younger Ciek Marion Linn Closed - Declined
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Linn Unity Point Westside Family Medicince 52404 Jain Cedar Rapids Linn Closed - Enrolled
Linn UNITY POINT WESTSIDE FAMILY MEDICINE 52404 JAIN DR ANSHUL Toledo Tama
Closed -
Unreachable
Linn Abbe Center 520 11th Street NW Cedar Rapids 52405 Natvig Ellen Hiawatha Closed - Enrolled
Linn Ob Gyn Associates PC 52406 Bemus Scott Monticello Jones
Closed -
Unreachable
Linn EASTER IOWA HEALTH CENTER
Closed -
Unreachable
Linn Eastern IA Health Center Willis Bradley Cedar Rapids Linn
Closed -
Unreachable
Linn Eastern IA Health Center Livermore Ursula Cedar Rapids Linn
Closed - Intake
Only
Linn Eastern IA Health Center Anamosa Jones Closed - Enrolled
Linn Eastern Iowa Health Center CEDAR RAPIDS Linn
Closed -
Unreachable
Linn HYVEE Pharm Albia
UI Womens Hlth 200
Hawkins Dr Iowa City Mazur Eugenia Albia Monroe
Closed - Intake
Only
Linn Prior Authorization
9255 Atlantic Drive
SW Cedar Rapids Vetsch Michelle Cedar Rapids Linn Closed - Invalid
Linn Bowman Woods Family Practice Stewart Teresa Cedar Rapids Linn
Closed -
Unreachable
Linn EIHC Eastern Iowa Health Center Jundal Prachi Cedar Rapids Linn
Closed -
Unreachable
Linn Westside Family Medicine and Urgent Care Cedar Rapids Linn Closed - Enrolled
Lucas Prior Authorization 1200 North 7th Street Chariton 50049 McCune Phillip Chariton Lucas
Closed - Intake
Only
Lyon Sanford Clinic Rock Rapids
803 South Green
Street Rock Rapids 51246 Hamon Beta Rock Rapids Lyon
Closed - Already
Participating
Lyon Sanford Clinic Rock Rapids 51246 Roemen Rebecca Doon Lyon
Closed -
Unreachable
Lyon SANFORD CLINIC ROCK RAPIDS Closed - Ineligible
Mahaska Prior Authorization 1229 C Ave E Oskaloosa 52577 Scott Jen Redfield Dallas Closed - Declined
Mahaska Prior Authorization 1229 C Ave E Oskaloosa 52577 Johannes T Oskaloosa Mahaska
Closed -
Unreachable
Mahaska Plumpod 1229 C Ave East Johauues Tonya University Park Mahaska Closed - Enrolled
Mahaska Prior Authorization 1229 C Ave Oskaloosa Miller Eric Oskaloosa Mahaska
Closed -
Unreachable
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Marion Unity Point Clinic Marion Family Medicine 52302 Konarski Jessica Marion Linn
Closed -
Unreachable
Marshall Primary Health Care 50158 Johnson Becky Marshalltown Marshall Closed - Enrolled
Marshall Prior Authorization 303 Nicholas Drive Marshalltown 50158 Olberding Maria Marshalltown Marshall Closed - Declined
Marshall
CENTERAL IOWA HEALTHCARE-STATE
CENTER CLINIC 50247 George Amanda Marshalltown Marshall Closed - Declined
Minnehaha AVERA MEDICAL GROUP
1301 S CLIFF AVE STE
601 SIOUX FALLS 57105 GROSKREUTZ DR Terril Dickinson Closed - Enrolled
Minnehaha Avera Medical Group Pulmonary 57105 Groskreutz Dr Estherville Emmet Closed - Enrolled
Minnehaha AVERA PULMONARY AND SLEEP 57105 GROSKREUTZ DR Terril Dickinson
Closed - Already
Participating
Minnesota MAYO CLINIC 55905 GARCES DR Farmersburg Clayton
Closed -
Unreachable
Mitchell Prior Authorization 620 North 8th Street Osage 50461 Haganman Mark Osage Mitchell Closed - Enrolled
Monona BARGESS FAMILY CLINIC-MAPLE VALLEY 51034 WALKER CHAD Ute Monona Closed - Duplicate
Monona Burgess Family Clinic-Maple Valley 51034 Walker Chad Ute Monona Closed - Enrolled
Monona FAMILY MEDICINE CLINIC 51040 Closed - Enrolled
Montgomery Villioca Family Health Center 50864 Schmadeke Tom Clarinda Page
Closed -
Unreachable
Montgomery Villisca Family Health Center 50864 Martinez Effie Stanton Montgomery Closed - Enrolled
Montgomery VILLISCA FAMILY HEALTH CENTER Closed - Ineligible
Muscatine UI Health Ventures 52761 Maharry Dr Muscatine Muscatine
Closed -
Unreachable
Muscatine UIHV 52761 Manarry Michael Muscatine Muscatine Closed - Enrolled
Muscatine United Point Clinic 52761 Wiseman Kim 52791
Closed -
Unreachable
Muscatine Prior Authorization 1518 Mulberry Ave Muscatine Muscatine Muscatine
Closed - Intake
Only
Muscatine UI Healthcare Muscatine Nelson Christina Muscatine Muscatine
Closed -
Unreachable
Nebraska Methodist Jennie Edmundson Hosp Missouri Valley Harrison
Closed -
Unreachable
NotAvailable Sanford Hartley 51346 Taene Angela Hartley Obrien Closed - Duplicate
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
NotAvailable DIAB 56267 Mehmert Cathy Burlington Des Moines Closed - Declined
NotAvailable Care For Yourself Jackson Lori Sioux City Woodbury
Closed -
Unreachable
NotAvailable Care For Yourself Waterloo Black Hawk
Closed -
Unreachable
NotAvailable CHC Havenstein Naarah Burlington Des Moines Closed - Declined
NotAvailable CHC Havenstein Naarah Burlington Des Moines Closed - Declined
NotAvailable Community Health Care Davenport Scott
Closed -
Unreachable
NotAvailable Community Health Care Barkley Stephanie Davenport Scott
Closed -
Unreachable
NotAvailable COMMUNITY HEALTH CARE
Closed -
Unreachable
NotAvailable COMMUNITY HEALTH CARE Closed - Enrolled
NotAvailable Community Health Care Metuge Anne Davenport Scott Closed - Declined
NotAvailable Community Health Center Burlington Des Moines Closed - Enrolled
NotAvailable COMMUNITY HEALTH CENTER Closed - Invalid
NotAvailable COMMUNITY HEALTH CENTER
Closed -
Unreachable
NotAvailable COMMUNITY HEALTH CENTER Closed - Invalid
NotAvailable COMMUNNITY HEALTH CTR Closed - Duplicate
NotAvailable FAM MED Closed - Ineligible
NotAvailable Family Medicine Clinic Nieuwenhuis Dr Sioux City Woodbury Closed - Ineligible
NotAvailable Great River Medical Center - Resp Care Jwala Dr
West
Burlington Des Moines Closed - Declined
NotAvailable Health System Luana Clayton
Closed -
Unreachable
NotAvailable Internal Med Central Campus Blaess Michael
Closed -
Unreachable
NotAvailable mcfarland clinic jensen meagan Marshalltown Marshall
Closed -
Unreachable
NotAvailable McFarland Clinic Jefferson Greene Closed - Enrolled
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
NotAvailable Mercy Care Wille Jerry Tama Tama Closed - Enrolled
NotAvailable Mercy Family Care Noble Jason Perry Dallas Closed - Enrolled
NotAvailable Mercy Medical Center Clinton Clinton
Closed - Already
Participating
NotAvailable Mercy Medical Center Davenport Scott
Closed - Intake
Only
NotAvailable Mercy Medical Center Clinton Clinton
Closed -
Unreachable
NotAvailable Mercy Medical center
Closed -
Unreachable
NotAvailable OIHC FAMILY MEDICINE Closed - Enrolled
NotAvailable Parks Family Practice Rowan Erin Des Moines Polk
Closed -
Unreachable
NotAvailable Primary Health Care Meyer Katy Ankeny Polk
Closed - Intake
Only
NotAvailable Primary Health Care Swinton Tim
MARSHALLTO
WN Marshall
Closed -
Unreachable
NotAvailable PRIMARY HEALTH CARE CLENDENING DEBORAH Marshalltown Marshall Closed - Ineligible
NotAvailable Primary Health Care Swinton Unknow Gilman Marshall
Closed -
Unreachable
NotAvailable PRIMARY HEALTH CARE CLINIC Closed - Duplicate
NotAvailable Primary Healthcare at Mercy Bodnia Des Moines Polk
Closed -
Unreachable
NotAvailable Prior Authorization Clarinda Page
Closed -
Unreachable
NotAvailable Prior Authorization Unknown Unknown Des Moines Polk
Closed - Intake
Only
NotAvailable Prior Authorization Laurens Pocahontas
Closed -
Unreachable
NotAvailable Sanford Hartley Obrien
Closed -
Unreachable
NotAvailable Unity Point Cardiology Paton Greene Closed - Enrolled
NotAvailable Unity Point Cardiology Koneru Sushma Indianola Warren Closed - Ineligible
NotAvailable Unity Point Clinic Kim Katie Norwalk Warren
Closed - Already
Participating
NotAvailable Unity Point Clinic Konarske Jessica Marion Linn Closed - Declined
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
NotAvailable Unity Point Clinic Creamer Peggy Muscatine Muscatine Closed - Enrolled
NotAvailable Unity Point Clinic Des Moines Polk Closed - Enrolled
NotAvailable Unity Point Clinic Jit Simran Davenport Scott
Closed - Intake
Only
NotAvailable Unity Point Family Medicine Colon Beth Muscatine Muscatine
Closed -
Unreachable
NotAvailable Unity Point Family Medicine Motto Amanda DAVENPORT Scott Closed - Enrolled
NotAvailable Unity Point Family Medicine Zylstra Lindsay Wyoming Jones Closed - Enrolled
NotAvailable Unity Point Family Medicine Belchle Kevin Eldridge Scott Closed - Ineligible
Page Prior Authorization One Jack Foster Drive Shenandoah 51601 Isaacson Todd Shenandoah Page Closed - Enrolled
Page Shenandoah Physicians Clinic 51601 Wilkinson Susan Shenandoah Page
Closed -
Unreachable
Page Clarinda Medical Associates 220 Essie Davison Dr. Clarinda 51632 Freeman Steven Clarinda Page Closed - Enrolled
Page Clarinda Regional Health Center 51632 Furst Tish Clarinda Page
Closed -
Unreachable
Page CMA 51632 Moales Autumn Clarinda Page
Closed -
Unreachable
Page CRHC 51632 Wilmes Amy Braddyville Page Closed - Enrolled
Page Charinda Regional Medical Center Barley Clarinda Page
Closed -
Unreachable
Page Prior Authorization 1 Jack Foster Drive Isaaacson Todd Shenandoah Page Closed - Enrolled
Page Shenandoah Medical Center Thippareddi Satya Shenandoah Page
Closed -
Unreachable
Plymouth Floyd Valley Healthcare FMC 51031 Schroeder Geri Lynn Le Mars Plymouth Closed - Declined
Pocahontas Prior Authorization 307 West Highway 10 Laurens 50554 Maurer Kylie Laurens Pocahontas
Closed -
Unreachable
Pocahontas Prior Authorization 608 NW 7th St Pocahontas 50574 George Ted Pomeroy Calhoun Closed - Enrolled
Pocahontas Prior Authorization 307 West Highway 10 Maurer Kylie Laurens Pocahontas Closed - Declined
Pocahontas Prior Authorization 307 West Highway 10 Laurens Maurer Kylie Laurens Pocahontas Closed - Enrolled
Polk Prior Authorization 5615 NW 86th St Johnston 50131 Gerrietz Jennifer Carlisle Warren Closed - Enrolled
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Polk Mercy Capitol 4630 Douglas Des Moines 50309 Hawkins Des Moines Polk Closed - Enrolled
Polk Prior Authorization 1350 Des Moines St Des Moines 50309 VanEffen Sara
Closed -
Unreachable
Polk Unity Point Cardiology 50309 Gangi Creston Union Closed - Enrolled
Polk Mercy Beaverdale Clinic 50310 Klemesrud Mary Des Moines Polk Closed - Duplicate
Polk DMU Clinic 3200 Grand Ave Des Moines 50312 Vargas April Des Moines Polk Closed - Enrolled
Polk Prior Authorization 2103 Ingersoll Avenue Des Moines 50312 Shires Robert Des Moines Polk
Closed -
Unreachable
Polk BROADLAWNS FAMILY PRACTICE 1801 HICKMAN ROAD DES MOINES 50314 Des Moines Polk
Closed -
Unreachable
Polk Primary Health Care @ Mercy 50314 Bodnia Elizabeth Des Moines Polk
Closed -
Unreachable
Polk Primary Health Care, Inc. 50314 Lehl Deanna Des Moines Polk
Closed -
Unreachable
Polk Prior Authorization 4821 SW 9th St Des Moines 50315 Young Sheryl Des Moines Polk
Closed - Intake
Only
Polk Prior Authorization
6601 Southwest 9th
Street Des Moines 50315 Darby Anne Altoona Polk Closed - Declined
Polk Prior Authorization 6601 SW 9th St Des Moines 50315 Darby Anne Des Moines Polk
Closed -
Unreachable
Polk Prior Authorization 6601 SW 9th St Des Moins 50315 Nordstrom Lindy Des Moines Polk Closed - Declined
Polk Prior Authorization 2301 E 14th St Des Moines 50316 Rowan Erin Des Moines Polk
Closed - Intake
Only
Polk UNITY POINT CLINCK PARKS AREA 50316 Rowan Erin Des Moines Polk Closed - Declined
Polk Unity Point East Des Moines Family Medicine 50316 Hubbell Alexandra Des Moines Polk Closed - Declined
Polk Primary Health Care 50320 Hall Rebecca Des Moines Polk Closed - Enrolled
Polk Primary Health Care Clinic 50320 Meyer Katy Ankeny Polk Closed - Duplicate
Polk Southglen 50320 Unity Point Des Moines Polk Closed - Enrolled
Polk Southglen FP 7481 Hwy 65/69 Des Moines 50320 Jenkins Jennifer Des Moines Polk Closed - Invalid
Polk Prior Authorization 2901 86th St Urbandale 50322 Piasecki Ed
West Des
Moines Polk Closed - Enrolled
Polk Prior Authorization 2901 86th St Urbandale 50322 Diasecki Ed Urbandale Polk Closed - Enrolled
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Polk Mercy West Family Practice and Urgent Care 50325 Gudgel Elizabeth Des Moines Polk
Closed - Already
Participating
Polk Mercy West Family Practice and Urgent Care 50325 Gudgel Elizabeth Des Moines Polk
Closed - Already
Participating
Polk Prior Authorization 5900 E University Pleasant Hill 50327 Bauch Tawnya Des Moines Polk
Closed -
Unreachable
Polk Prior Authorization 5900 East University Pleasant Hill 50327 Chandani Illa Altoona Polk Closed - Enrolled
Polk Penn Ave Internal Medicine Prendergast Lindsay Saint Marys Warren
Closed -
Unreachable
Polk Primary Healthcare East 3509 E 29th St Convery Louise Bondurant Polk
Closed -
Unreachable
Polk Prior Authorization
1211 Vine Street,
Suite 2224 Fitzgerald Kathleen WDM Polk Closed - Enrolled
Polk UNITY POINT SOUTHGLEN Ankeny Polk Closed - Enrolled
Polk UNITY POINT SOUTHGLEN Closed - Duplicate
Polk Unity Point Southglen Jenkins Jennifer Des Moines Polk Closed - Enrolled
Polk Broadlawns Internal Medicine Consult Clinic Kruse Jason Des Moines Polk
Closed - Already
Participating
Polk Mercy Beaverdale Clinic Klemesrud Mary Des Moines Polk
Closed -
Unreachable
Polk MERCY EAST VILLAGE Closed - Enrolled
Polk Oncol NS 1801 Hickman Rd Des Moines Schuck Julie Altoona Polk
Closed -
Unreachable
Polk Parks Area Clinic NS 2301 E 14th Auh Mukati Des Moines Polk Closed - Enrolled
Polk Southglen Family Practice L Amy Des Moines Polk Closed - Enrolled
Pottawattamie All Care Health Center 51501 Gonzales Kelly Sidney Fremont
Closed -
Unreachable
Pottawattamie CHI Health 51501 Vacek Joyce Council Bluffs Pottawattamie Closed - Enrolled
Pottawattamie Prior Authorization 1701 W Broadway Council Bluff 51501 Quinnette Laura Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie Prior Authorization
3135 W Broadway Ste
100 Council Bluffs 51501 Amebuster Jamie Council Bluffs Pottawattamie Closed - Enrolled
Pottawattamie All Care Health Center 51503 Quillen Christy Council Bluffs Pottawattamie Closed - Declined
Pottawattamie Heartland Oncology and Hematology 51503 Hussain Sakeer Neola Pottawattamie
Closed -
Unreachable
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Pottawattamie Methodist Council Bluffs Ob/Gyn 51503 Platt Lori Council Bluffs Pottawattamie Closed - Enrolled
Pottawattamie Methodist Edmunson 51503 Stearnes Rachel Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie METHODIST JEANIE EDMUNDSON HOSP 51503 Council Bluffs Pottawattamie Closed - Enrolled
Pottawattamie Methodist Jennie Edmundson 51503 Hart Dr Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie Methodist Jennie Edmundson 51503 Reher Evelyn Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie Methodist Jennie Edmundson Hosp 51503 Patel Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie Methodist Jennie Edmundson Hospital 51503 Ayoub Council Bluffs Pottawattamie Closed - Declined
Pottawattamie Methodist Jennie Edmundson Hospital 51503 Red Oak Montgomery Closed - Enrolled
Pottawattamie METHODIST PHYSICAINS CLINIC 51503 MCELDERLY THOMAS Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie Methodist Physician Clinic 51503 McElderry Thomas Council Bluffs Pottawattamie Closed - Enrolled
Pottawattamie Methodist Physicians 51503 Tymkoyco DR Nadia Carson Pottawattamie
Closed - Already
Participating
Pottawattamie Methodist Physicians Clinic 51503 McElderry Thomas Carter Lake Pottawattamie
Closed -
Unreachable
Pottawattamie Prior Authorization 1751 Madison Ave Council Bluffs 51503 Hinzmann Elizabeth Carter Lake Pottawattamie Closed - Declined
Pottawattamie Methodist Physians 57503 McElderly Thomas Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie All Care Health Center Aabida Afeera Council Bluffs Pottawattamie
Closed - Intake
Only
Pottawattamie All Care Health Center Aabida Afeera Council Bluffs Pottawattamie Closed - Declined
Pottawattamie All Care Health Center Dowleng Teresa Council Bluffs Pottawattamie
Closed - Already
Participating
Pottawattamie METHODIST JENNIE MILERIS PAUL Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie METHODIST JENNIE EDMANDSON HOSP
Closed - Already
Participating
Pottawattamie Methodist Jennie Hosp Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie Methodist Physicians Clinc McElderry Thomas Council Bluffs Pottawattamie
Closed -
Unreachable
Pottawattamie Methodist Physicians Clinic McElderry Thomas Council Bluffs Pottawattamie Closed - Duplicate
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Pottawattamie Prior Authorization 3135 W Broadway Council Bluff Rohatgi Kavish Council Bluffs Pottawattamie
Closed -
Unreachable
Ringgold Mount Ayr Medical Clinic 50854 Schafer Ron Kellerton Ringgold Closed - Duplicate
Ringgold Mount Ayr Medical Clinic 50854 Schafer Ron Kellerton Ringgold Closed - Duplicate
Ringgold Mount Ayr Medical Clinic 50854 Schafer Ron Kellerton Ringgold Closed - Enrolled
Sac Prior Authorization 301 Hynland Ave Sac City 50583 Ceyako Bernadette Newell Buena Vista
Closed -
Unreachable
Sac McCray Rost Clinic 1160 3rd St Lakeview 51450 Mogensen Mark Auburn Sac
Closed -
Unreachable
Scott Genesis Health Group 52722 Hagemann Jason Bettendorf Scott
Closed - Already
Participating
Scott Prior Authorization 2140 53rd Avenue Bettendorf 52722 Salowitz Stacie Davenport Scott
Closed -
Unreachable
Scott Unity Point Clinic B
4480 Utica Ridge Rd
Suite 2236 Betterndorf 52722 Melnta Nilsn Davenport Scott Closed - Declined
Scott Genesis Health Group 301 N 4th St Eldridge 52748 Cloos Carla Eldridge Scott Closed - Ineligible
Scott Prior Authorization 301 North 4th Avenue Eldridge 52748 Cloos Carlos ELDRIDGE Scott Closed - Enrolled
Scott Community Health Care 52801 Metuge Anne Davenport Scott
Closed -
Unreachable
Scott Community Health Care 52801 Metuge Anne Davenport Scott
Closed -
Unreachable
Scott Community Health Care 52801 Javron Sarah Davenport Scott
Closed - Intake
Only
Scott Community Health Care 52801 Barkley Stephanie Davenport Scott
Closed -
Unreachable
Scott Community Health Care 52801 Barkley Stephanie Davenport Scott
Closed - Intake
Only
Scott Cardiovascular Medicine 52803 Sharis Peter Davenport Scott
Closed - Intake
Only
Scott Community Health Care 52804 Chana Davenport Scott Closed - Enrolled
Scott Genesis Family Medical Center 1345 W Central Park Davenport 52804 Alla Davenport Scott
Closed -
Unreachable
Scott Gensis Family Center 1345 W Central Pk Davenport 52804 Cavey DAVENPORT Scott Closed - Declined
Scott Prior Authorization 1345 W Central Pk Davenport 52804 Woodhouse Christina Eldridge Scott Closed - Enrolled
Scott Genesis Pulmonary Associates 52807 Wong Humphrey Davenport Scott
Closed -
Unreachable
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Scott Prior Authorization 4317 53rd Street Joshi Janki Closed - Enrolled
Scott Unity Point Spring St Davenport Scott
Closed - Intake
Only
Scott Community Health Care Misiag Ashlee Davenport Scott Closed - Invalid
Scott Genesis Health Group Hagemann Jason Bettendorf Scott Closed - Enrolled
Scott Medicaid Referral 1345 W Central pk Davenport Cavey Dr Davenport Scott Closed - Enrolled
Scott Prior Authorization 1345 W Central Park Davenport Luong Thang Davenport Scott
Closed -
Unreachable
Scott Prior Authorization 1345 W Central Pk Davenport Kammer Jen ELDRIDGE Scott Closed - Enrolled
Scott Unity Point Clinic B 4480 Utica Ridge Rd Bettendorf Menta Nilesh Davenport Scott Closed - Enrolled
Shelby
Myrtue Center Department of Community
Health 51537
HCCMS Family
Health Services Harlan Shelby
Closed - Already
Participating
Sioux Hawarden Regional Healthcare 51023 Dejager Mindy HAWARDEN Sioux
Closed -
Unreachable
Sioux Hawarden Regional Healthcare 51023 Waddell Beau Hawarden Sioux Closed - Enrolled
South Dakota Avera Pulmonary Ashton Osceola
Closed -
Unreachable
Story McFarland Clinic PC 1215 Duff Ave Ames 50010 Arbulu Ricardo Ames Story
Closed -
Unreachable
Tama Prior Authorization 501 Clark Street Dysart 52224 Menuey Nicole Waterloo Black Hawk Closed - Invalid
Taylor CHI 50833 Watzel Allison New Market Taylor
Closed - Already
Participating
Taylor Hardin Clinic 408 Dodge St Bedford 50833 Kempf Michelle Coin Page
Closed - Intake
Only
Taylor Hardin Clinic 408 Dodge St Bedford 50833 Kempf Michelle Coin Page
Closed - Intake
Only
Taylor Lenox Medical Clinic 100 S Main St Lenox 50851 Rubenking Darcy Lenox Closed - Enrolled
Union GRMC 1700 W Townline St Creston 50801 Miller Lonny Wilton Muscatine Closed - Invalid
VanBuren Prior Authorization 307 Franklin Street Keosauqua 52565 Kuder James Bloomfield Davis Closed - Enrolled
VanBuren Fox RIver Clinic Birmingham Van Buren Closed - Declined
Wapello Eddieville Clinic PO Box 576 107 N 3rd Eddieville 52553 Bechtel Shelley Eddyville Wapello Closed - Enrolled
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Wapello River Hills Community Health Center Walker Kim Ottumwa Wapello Closed - Ineligible
Warren Prior Authorization
307 East Scenic Valley
Avenue Indianola 50125 Olsasky Sarah Milo Warren
Closed -
Unreachable
Washington Prior Authorization
3056 River Crossing
Court Riverside 52327 Cramer Elizabeth Washington Washington
Closed -
Unreachable
Washington Prior Authorization 3056 Rivercrossing Ct Riverside 52327 Bedell David Keokuk Lee
Closed -
Unreachable
Washington WCHC Family Medicine 1230 S Iowa Ave Washington 52353 Prihoda Matthew Washington Closed - Enrolled
Webster Community Health Center 126 North 10th Street Fort Dodge 50501 Turner Darlene Badger Webster
Closed -
Unreachable
Webster Community Heath Center 126 North 10th Street Fort Dodge 50501 Feser Ann Fort Dodge Webster
Closed -
Unreachable
Webster Prior Authorization 126 N10th St Ft Dodge 50501 Ubben Michelle Fort Dodge Webster Closed - Enrolled
Webster Prior Authorization 176 N 10th St Fort Dodge 50501 Ubben Michelle Fort Dodge Webster
Closed -
Unreachable
Webster Prior Authorization 800 Kenyon Rd Fort Dodge 50501 Condon Jennifer Fort Dodge Webster Closed - Enrolled
Webster Prior Authorization 126 North 10th Street Zigrang Jennifer
Closed -
Unreachable
Winneshiek winneshiek medical center 52101 wyffels kristen Decorah Winneshiek
Closed -
Unreachable
Woodbury Prior Authorization 307 East Main Street Anthon 51004 Rusch James Correctionville Woodbury
Closed -
Unreachable
Woodbury Mercy Medical Center Sioux City 51102 Sioux City Woodbury
Closed -
Unreachable
Woodbury Family Medicine Center 51104 Savio Dr Sioux City Woodbury
Closed -
Unreachable
Woodbury Family Medicine Clinic 51104 Nieuwenhuis Dr Dakota City Dakota Closed - Invalid
Woodbury Siouxland Medical Education Foundation 2501 Pierce St Sioux City 51104 Drew Cara Closed - Ineligible
Woodbury Siouxland Medical Education Foundation 2501 Pierce St Sioux City 51104 Drew Cara Closed - Duplicate
Woodbury Prior Authorization 1021 Nebraska Street Sioux City 51105 Sopher Lavone Closed - Declined
Woodbury Sioux Land Community Health 51105 Sioux City Woodbury
Closed -
Unreachable
Woodbury SIOUX LAND COMMUNITY HEALTH CENTER 51105 Closed - Enrolled
Woodbury Sioux Land Community Health Center 51105 Sterud Staci Sioux City Woodbury
Closed -
Unreachable
ClinicCounty Clinic Name Clinic Address Clinic City
Clinic
Zip
Referred By
Last Name
Referred By First
Name Participant City
Participant
County Status
Woodbury Siouxland Community Health Center 51105 Sterud Staci Sioux City Woodbury Closed - Enrolled
Woodbury Siouxland Community Health Center 51105 Sterid Staci Sioux City Woodbury
Closed - Intake
Only
Woodbury Jackson Recovery 800 5th st Sioux City Wurth Rachel Sioux City Woodbury Closed - Enrolled
Woodbury SIOUX LAND COMMUNITY HELATH CENTER WENDEL TYLER Sioux City Woodbury
Closed -
Unreachable
Woodbury SIOUXLAND COMMUNITY HEALTH
Closed -
Unreachable
Wright Iowa Specialty Hospital 50421 Colby Dennis Belmond Wright Closed - Enrolled
Wright Iowa Specialty Hospital Colby Dennis Belmond Wright Closed - Enrolled