County Clinic Name Clinic Clinic Referred By …...Howard Cresco Medical Clinic 52136 Kammerer Jon...
Transcript of County Clinic Name Clinic Clinic Referred By …...Howard Cresco Medical Clinic 52136 Kammerer Jon...
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Adams CHI 50841 Hagen Traci Corning Adams Closed -
Already
Participating
Allamakee Gundersen Health
System
52172 Everman Jessica Lansing Allamakee Closed -
Enrolled
Allamakee Gundersen Health
System
52172 Barbee Dr. Waukon Allamakee Closed -
Duplicate
Audubon Audobon Family
Health Care
50025 Stubbs Christop
her
Audubon Audubon Closed -
Unreachable
Benton Unity Point Clinic 52208 Fults Angela Belle Plaine Benton Closed -
Duplicate
Black Hawk FAM MED
WATERLOO
Waterloo Black Hawk Closed -
Enrolled
Blackhawk Covenant-
Pulmonology
50702 Mehta Pankaj Waterloo Black Hawk Closed -
Unreachable
Blackhawk Peoples Clinic 50703 Gatz Emily Waterloo Black Hawk Closed -
Enrolled
Blackhawk Peoples Community
Health Clinic
50703 Gutz Emily Waterloo Black Hawk Closed -
Already
Participating
Blackhawk Family Medicine
Waterlo UnityPoint
Clinic
50703 Hall Martha Waterloo Black Hawk Closed -
Already
Participating
Blackhawk Family Medicine
Waterloo
50703 Brown Teresa Denver Bremer Closed -
Unreachable
Blackhawk Family Medicine
Wsterlo UnityPoint
Clinic
50703 Hall Martha Waterloo Black Hawk Closed -
Unreachable
Blackhawk PEOPLES
COMMUNITY
HEALTH CLINIC
50703 Kane Sarah Independenc
e
Buchanan Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Boone Prior Authorization 1115
South
Marshall
Street
Boone 50036 Anderson Joshua Madrid Boone Closed -
Unreachable
Boone Boone Family
Medicine North Clinic
50036 Mehlhaus Dr BOONE Boone Closed -
Declined
Bremer Waverly Health Clinic Women's
Clinic
50677 Rathe Ann Forest City Winnebago Closed -
Unreachable
Butler Prior Authorization 502
Locust
Allison 50602 Foxen Montica Parkersburg Butler Closed -
Unreachable
Butler Peoples Clinic Butler
County
50619 Hoelscher Courtne
y
Charles City Floyd Closed -
Already
Participating
Butler Unity Point / Allison
Family Practice
50602 Foxen Montica Parkersburg Butler Closed -
Unreachable
Calhoun McCrary Rost Clinic 51449 HORNBACK DR
SUSAN
Pomeroy Calhoun Closed -
Unreachable
Calhoun Calhoun County
Public Health
50579 Rockwell
City
Calhoun Closed -
Already
Participating
Cass Prior Authorization 1501
East 10th
Street
Atlantic 50022 Weppler Angela Griswold Cass Closed -
Unreachable
Cass Anita Medical Center 50020 Bean Stacey Atlantic Cass Closed -
Unreachable
Cass Atlantic Medical
Center
50022 Robinson Mary Walnut Pottawattami
e
Closed -
Unreachable
Cerro Gordo Prior Authorization 1010 4th
St SW
Ste 340
Mason
City
50401 Parekh Mason City Cerro Gordo Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Cerro Gordo Prior Authorization 1010 4th
Street
SW,
Suite 340
Mason
City
50401 Singh Jasjit Mason City Cerro Gordo Closed -
Unreachable
Cerro Gordo Mercy North Iowa -
Internal Medicine
50401 Dunlay Patrick Mason City Cerro Gordo Closed -
Already
Participating
Cerro Gordo Mercy Internal
Medicine Clinic
50401 Gannon Kathlee
n
Mason City Cerro Gordo Closed -
Unreachable
Cerro Gordo Mercy Family
Medicine Residency
50401 Kersbergen David Closed -
Intake Only
Cerro Gordo Regency Clinic Mercy 50401 Wagner Cheriely
nn
Major City Closed -
Unreachable
Cerro Gordo Mercy Family
Residency
50401 Jewell Brianna Garner Hancock Closed -
Duplicate
Cherokee Cherokee Region
Clinic
300 sioux
Valley Dr
Cheroke
e
51012 Mogensen-
Kruger
Rebecc
a
Cherokee Closed -
Unreachable
Cherokee Cherokee Family
Practice
51012 Woodall Jan Cherokee Cherokee Closed -
Unreachable
Clay Megan Van Otterloo 116 E
11th St
Spencer 51301 Van Otterloo Megan Spencer Clay Closed -
Unreachable
Clinton Prior Authorization 102111th
St
De Witt 52742 Laureys Peter De Witt Clinton Closed -
Enrolled
Clinton Community Health
Care
925 S 4th
St
Clinton 52732 Clinton Clinton Closed -
Unreachable
Clinton Prior Authorization 915 13th
Ave N
Clinton 52732 Ansari Clinton Clinton Closed -
Enrolled
Clinton Medical Associates 52732 Kauffman T Clinton Clinton Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Clinton Community Health
Care
52732 Fuller Ashley Clinton Clinton Closed -
Enrolled
Clinton Mercy Medical
Center Clinton
52732 Clinton Clinton Closed -
Unreachable
Clinton Mercy Medical
Center Clinton
52732 Bryant Clinton Closed -
Unreachable
Dakota, Ne Siouxland
Community Health
Center of Nebraska
68776 Faldmo David Sioux City Woodbury Closed -
Already
Participating
Dallas Prior Authorization 1120
Greene
St
Adel 50003 Waukee Dallas Closed -
Enrolled
Dallas Mercy Clinic Perry 50220 Sohn Steven Perry Dallas Closed -
Unreachable
Dallas Dallas Center
Medical Associates
50063 Eernisse Dr De Soto Dallas Closed -
Intake Only
Decatur Iowa Heart Center 50264 Wickemeyer William Centerville Appanoose Closed -
Ineligible
Delaware Regional Family
Health
52050 Book C Earlville Delaware Closed -
Enrolled
Des Moines Community Health
Center Southeast
Iowa
52655 Havenstein Naarah Burlington Des Moines Closed -
Unreachable
Des Moines CHC 52655 Kisunni V Burlington Des Moines Closed -
Alternate
Client
Douglas Not provided 4220 L St Omaha 68107 Hare Mark Council
Bluffs
Pottawattami
e
Closed -
Enrolled
Douglas, Ne Nebraska Medicine 68198 Darrah Lauren Council
Bluffs
Pottawattami
e
Closed -
Already
Participating
Dubuque Prior Authorization 1515
Delhi St
Dubuqu
e
52001 Fanuyide Victoria Dubuque Dubuque Closed -
Intake Only
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Fayette Covenant Clinic 50662 Dalie Nasredi
n
Maynard Fayette Closed -
Enrolled
Grundy CS LaTendresse
Medical Clinic
50638 LaTendresse Charles Grundy
Center
Grundy Closed -
Unreachable
Hamilton Van Diest Family
Medical Clinic
2350
Hospital
Dr
Webster 50595 Sahari Subhas
h
Webster City Hamilton Closed -
Enrolled
Hardin Prior Authorization 103 E
Ellsworth
Dows 50126 Landers Daphne Dows Wright Closed -
Enrolled
Hardin McFarland Clinic Iowa
Falls
50126 Heiar Aaron Iowa Falls Hardin Closed -
Enrolled
Hardin Prior Authorization 1506
Edgingto
n Avenue
Eldora 50627 Kenkel Carrie Eldora Hardin Closed -
Intake Only
Howard Prior Authorization 321 8th
Avenue
West
Cresco 52136 Haas Mary Cresco Howard Closed -
Enrolled
Howard Cresco Medical Clinic 52136 Kammerer Jon Cresco Howard Closed -
Unreachable
Jackson Prior Authorization 918 West
Platt
Street,
Suite 1
Maquok
eta
52060 Peterson Eric Maquoketa Jackson Closed -
Enrolled
Jackson Medical Associates 52060 THOMPSON DR K Baldwin Jackson Closed -
Enrolled
Jackson Mercy Care Second
Ave
52403 Schultes Robert Marion Linn Closed -
Unreachable
Jackson MercyCare Second
Avenue
52403 Schultes Robert Marion Linn Closed -
Current
Appointment
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Jasper Prior Authorization 100 East
Jefferson
Prairie
City
50228 Ingle Greg Des Moines Polk Closed -
Unreachable
Jasper Not Given 50208 Bantell Stephan
ie
Newton Jasper Closed -
Current
Appointment
Jasper Unknown 50209 Bartell Stephan
ie
Newton Jasper Closed -
Unreachable
Jasper Monroe Family
Health Center
50170 Dejong Diane Monroe Jasper Closed -
Unreachable
Jasper Newton Clinic 50208 B Stephan
ie
Kellogg Jasper Closed -
Declined
Johnson Prior Authorization 105 East
9th
Street
Coralvill
e
52241 Goerdt Christop
her
Iowa City Johnson Closed -
Unreachable
Johnson Prior Authorization 3 Lions
Drive, PO
Box 927
North
Liberty
52317 Hong Arthur North Liberty Johnson Closed -
Unreachable
Johnson UIHC Family Med 200
Hawkins
Dr
Iowa
City
52242 Veit Leslie Iowa City Johnson Closed -
Enrolled
Johnson UIHC Family
Medicine
200
Hawkins
Drive
Iowa
City
52242 Wilcox Garrett Iowa City Johnson Closed -
Enrolled
Johnson Prior Authorization 3 Lions
Drive
North
Liberty
52317 Saunders Katharin
e
Closed -
Invalid
Johnson Prior Authorization 801
Newton
Road
Iowa
City
52246 Antoniare Marian Closed -
Unreachable
Johnson Prior Authorization 105 East
9th
Street
Coralvill
e
52241 Katz David Coralville Johnson Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Johnson Prior Authorization 200
Hawkins
Drive
Iowa
City
52242 Coleman Lastasci
a
Iowa City Johnson Closed -
Enrolled
Johnson Prior Authorization UIHC
Ophthal
mology -
200
Hawkins
Drive
Iowa
City
52242 Shriver Erin Washington Washington Closed -
Enrolled
Johnson Prior Authorization 269
North 1st
Avenue
Iowa
City
52245 Loeb Elizabet
h
North Liberty Johnson Closed -
Enrolled
Johnson Family Medicine
Clinic
Iowa
City
52242 Shian Brian Iowa City Johnson Closed -
Unreachable
Johnson University of Iowa
Hospitals and Clinics
Flanders Katherin
e
Iowa City Johnson Closed -
Unreachable
Johnson Iowa River Landing
East Family Med
52241 Banu Dr Columbus
Junction
Louisa Closed -
Intake Only
Johnson University of Iowa
Hospitals & Clinics
52242 Flanders Kathryn Iowa City Johnson Closed -
Enrolled
Johnson UIHC Virology 52242 Kaur Amrit CEDAR
RAPIDS
Linn Closed -
Unreachable
Johnson University of Iowa
College of Dentistry
52246 Swenson DR
Robert
Fort
Madison
Lee Closed -
Enrolled
Johnson P Rehab and
University of Iowa
Hospital and Clinic
52240 Berimer Jane Iowa City Johnson Closed -
Intake Only
Johnson University of Iowa
Hospital Clinic
52242 Siquardsson Gardar Chariton Lucas Closed -
Enrolled
Johnson IRL East Family
Medicine
52241 Banu Hussain Iowa City Johnson Closed -
Intake Only
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Jones Jones Regional
Medical Family
Practice
52205 Schepanski Alissa Central City Linn Closed -
Enrolled
Jones Unity Point Cascade
Family Medicine
52033 Rohr Debra Bernard Dubuque Closed -
Enrolled
Lee Prior Authorization 400
North
17th
Street
Keokuk 52632 Barrows Lindsey Fort
Madison
Lee Closed -
Unreachable
Lee IA Dept of Human
Services
1411
Main St
Keokuk 52632 Octken Annette Keokuk Lee Closed -
Enrolled
Lee CHC.SEIA 52632 Barrows Lindsey Fort
Madison
Lee Closed -
Current
Appointment
Lee Community Health
Center of SE IA
52632 Cloke Tia Mount
Pleasant
Henry Closed -
Unreachable
Lee The Keokuk Clinic 52632 Qasim Tank Keokuk Lee Closed -
Unreachable
Linn Prior Authorization 600 7th
st se ste
101
Cedar
Rapids
52401 Meeker Monica Cedar
Rapids
Linn Closed -
Enrolled
Linn Prior Authorization 2375
Edgewoo
d Road
SW
Cedar
Rapids
52404 Kahler Melissa Cedar
Rapids
Linn Closed -
Unreachable
Linn Prior Authorization 500 8th
Avenue
SE
Cedar
Rapids
52401 Hopper Katherin
e
Cedar
Rapids
Linn Closed -
Unreachable
Linn Eastern Iowa Health
Center
1201 3rd
Avenue
SE
Cedar
Rapids
52404 Siddagunta Chiranje
evi
Central City Linn Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Linn Eastern Iowa Health
Center
1201 3rd
Avenue
SE
Cedar
Rapids
52403 Wilson Amy Coggon Linn Closed -
Duplicate
Linn Eastern Iowa Health
Center
1201 3rd
Ave SE
Cedar
Rapids
52403 Wilson Amy Cedar
Rapids
Linn Closed -
Declined
Linn Unity Point Bowman
Woods
6911 C
Ave NE
Cedar
Rapids
52402 Minjeur Monica Marion Linn Closed -
Unreachable
Linn Prior Authorization 9255
Atlantic
Dr
Cedar
Rapids
52404 Alatorre Katherin
e
Cedar
Rapids
Linn Closed -
Unreachable
Linn Eastern Iowa Health
Center
1201 3rd
Avenue
SE
Cedar
Rapids
52403 Wilson Amy Closed -
Current
Appointment
Linn Prior Authorization 3933 Mt
Vernon
Rd SE
Cedar
Rapids
52403 Soenen Ann Cedar
Rapids
Linn Closed -
Unreachable
Linn Dr Anshul Jain 2375
Edgewoo
d Road
SW
Cedar
Rapids
Jain Anshul Cedar
Rapids
Linn Closed -
Unreachable
Linn Unity Bowman-Hoods
Family Medicine
52402 Stewart Terasa Cedar
Rapids
Linn Closed -
Unreachable
Linn Unity Point
Northridge
52233 Throndson Shanno
n
Cedar
Rapids
Linn Closed -
Unreachable
Linn Eastern Iowa Health
Center
52403 Schabilion Rose Cedar
Rapids
Linn Closed -
Enrolled
Linn Eastern Iowa Health
Center
52404 Bryne David Marion Linn Closed -
Enrolled
Linn Unity Point Bowman
Woods Family
Medicine
52402 Stewart Terasa Cedar
Rapids
Linn Closed -
Enrolled
Linn Eastern Iowa Health
Center
52403 Bayramgalin Rafael Cedar
Rapids
Linn Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Linn Unity Point Multi
Specialty
52402 Henry Mary Jo Cedar
Rapids
Linn Closed -
Unreachable
Linn Eastern Iowa Health
Center
52403 Efimov Alexand
re
Cedar
Rapids
Linn Closed -
Intake Only
Linn Eastern Iowa Health
Center
52403 Efimov Alexand
re
Cedar
Rapids
Linn Closed -
Duplicate
Linn Eastern Iowa Health
Center
52402 Hood Zachary Cedar
Rapids
Linn Closed -
Already
Participating
Linn Eastern Iowa Health
Center
52404 Siddagunta Chiranje
evi
Cedar
Rapids
Linn Closed -
Ineligible
Linn Eastern Iowa Health
Center
52403 Zadounaev Ivan Cedar
Rapids
Linn Closed -
Intake Only
Linn Unity Point Bowman
Woods
52402 Minjeur Monica Marion Linn Closed -
Unreachable
Linn Unity Point Bowman
Woods Family Med
52402 Stewart Teresa Cedar
Rapids
Linn Closed -
Enrolled
Linn Unity Point Clinic
Bowman Woods
52402 LeClere Brandy Cedar
Rapids
Linn Closed -
Unreachable
Louisa Community Health
Centers of
Southeaster IA
52737 Winfield Henry Closed -
Intake Only
Lucas Lucas County Health
Center Medical Clinic
Krutsinger Allison Chariton Lucas Closed -
Already
Participating
Lucas Lucas County Health
Center Medical Clinic
50049 Krutsinger Allison Chariton Lucas Closed -
Enrolled
Lucas Sanford Clinic Rock
Rapids
51246 Hamon Beta Doon Lyon Closed -
Duplicate
Lyon Sanford Clinic Rock
Rapids
51246 Hamon Beta Doon Lyon Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Lyon Stanford Clinic Rock
Rapids
51246 Roemen Rebecc
a
Inwood Lyon Closed -
Invalid
Lyon Sanford Rock Rapids
Clinic
51246 Van Hill Kathy Little Rock Lyon Closed -
Unreachable
Mahaska Stefanie Yearian 1229 C
Ave E
Oskaloo
sa
52577 Yearian Stefanie OSKALOOS
A
Mahaska Closed -
Unreachable
Mahaska mhp 1229 c
ave e
Oskaloo
sa
52577 Fowler Jeffrey Oskaloosa Closed -
Declined
Mahaska MHP 1229 C
AVE E
Oskaloo
sa
52577 SCOTT JEN Barnes City Closed -
Intake Only
Marion Pella Regional Health
Center
Amble Jamie Monroe Jasper Closed -
Unreachable
Marion Knoxville Hospital
and Clinic
Remington Shanno
n
Melcher
Dallas
Marion Closed -
Unreachable
Marion Knoxville Hospital
and Clinic
Remington Shanno
n
Melcher
Dallas
Marion Closed -
Declined
Marion Pella Regional Health
Center
50219 Amble Jamie Pella Marion Closed -
Enrolled
Marshall McFarland Clinic 312 E
Main St
Marshallt
own
50158 Berry Nicole Marshalltow
n
Marshall Closed -
Unreachable
Marshall Marshalltown Ob Gyn
Clinic
50158 Schmoker Autumn Marshalltow
n
Marshall Closed -
Enrolled
Marshall Substance Abuse
Treatment Unit of
Central Iowa
50158 Marshalltow
n
Marshall Closed -
Already
Participating
Marshall McFarland Clinic 50158 Megan Marshalltow
n
Marshall Closed -
Duplicate
Mills Methodist Physicians
clinic
415 Main
St
Malvern 51551 Wilson ARNP Krista Malvern Closed -
Unreachable
Monona Prior Authorization 1614
Diamond
Street
Onawa 51040 Kahl Tracy Onawa Monona Closed -
Unreachable
Monona Burgess Medical
Center
Kovar Dr Whiting Monona Closed -
Duplicate
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Monona Burgess Medical
Center
Kovar Dr Whiting Monona Closed -
Duplicate
Monona Burgess Medical
Center
51040 Kovar Whiting Monona Closed -
Unreachable
Muscatine UICMS Muscatine 52761 Tislinger Christin
e
Muscatine Muscatine Closed -
Ineligible
Muscatine UI CMS-
MUSCATINE
52761 Tisinger Christin
e
Letts Louisa Closed -
Unreachable
Not
Available
SANFORD ROCK
RAPIDS
HAMON BETA Rock Rapids Lyon Closed -
Already
Participating
Not
Available
METHODIST
PHYSICIANS CLINIC
Closed -
Already
Participating
Not
Available
People Choice
Community Health
Clinic
Henderson Vicki Waterloo Black Hawk Closed -
Enrolled
Not
Available
Prior Authorization Closed -
Enrolled
Not
Available
Prior Authorization Bettendorf Scott Closed -
Enrolled
Not
Available
CMA Schaffer Bryon Clarinda Page Closed -
Unreachable
Not
Available
Unity Point Clinic Imhoff Debbie Muscatine Muscatine Closed -
Unreachable
Not
Available
Prior Authorization Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
Not Legible Ottumwa Wapello Closed -
Duplicate
Not
Available
Community Health
Care
Chana Davenport Scott Closed -
Enrolled
Not
Available
CHC/SEIA Kiswano Vandha
na
Burlington Des Moines Closed -
Already
Participating
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
PRIMARY HEALTH
CARE
Closed -
Already
Participating
Not
Available
METHODIST
PHYSICIANS CLIIC
Closed -
Unreachable
Not
Available
Prior Authorization Fort Dodge Webster Closed -
Unreachable
Not
Available
Villisca Family Health
Center
Villisca Montgomery Closed -
Unreachable
Not
Available
Community Health
Care
Misiag Ashlee Davenport Scott Closed -
Already
Participating
Not
Available
Prior Authorization Le Claire Scott Closed -
Unreachable
Not
Available
CCMIT MED CLINIC Vail Crawford Closed -
Already
Participating
Not
Available
LaTendressa Medical
Clinic
Grundy
Center
Grundy Closed -
Unreachable
Not
Available
Prior Authorization Flonders Kathyrn Iowa City Johnson Closed -
Unreachable
Not
Available
Prior Authorization Ottumwa Wapello Closed -
Unreachable
Not
Available
Prior Authorization 107
North 3rd
Street
Eddyville Bechtel Shelley Ottumwa Wapello Closed -
Unreachable
Not
Available
Prior Authorization Independenc
e
Buchanan Closed -
Unreachable
Not
Available
MERCY FAM CLINIC
LAKE MILLS
Lake Mills Winnebago Closed -
Unreachable
Not
Available
Prior Authorization Lake City Calhoun Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Prior Authorization Schloss Sarah Cedar
Rapids
Linn Closed -
Enrolled
Not
Available
Prior Authorization Des Moines Polk Closed -
Unreachable
Not
Available
Nashua Clinic Hensley Tara Nashua Chickasaw Closed -
Unreachable
Not
Available
Siouxland
Community Center
of Nebraska
Fahmo David Closed -
Unreachable
Not
Available
VAN BUREN
COUNTY HOSPITAL
AND CLINIC
Keosauqua Van Buren Closed -
Unreachable
Not
Available
University of IA Hsp Washington Washington Closed -
Declined
Not
Available
Prior Authorization Fort
Madison
Lee Closed -
Unreachable
Not
Available
Community Health
Center
Hauentein Naarah West Point Lee Closed -
Unreachable
Not
Available
PRIMOARY HEALTH
CARE
Marshalltow
n
Marshall Closed -
Unreachable
Not
Available
MCFARLAND
CLINIC PC
Marshalltow
n
Marshall Closed -
Unreachable
Not
Available
St. Amsgar Clinic Osage Mitchell Closed -
Unreachable
Not
Available
Prior Authorization Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Not
Available
Prior Authorization Thurman John Burlington Des Moines Closed -
Unreachable
Not
Available
Family Medicine of
Mt Pleasant
Gratz Katie Wayland Henry Closed -
Unreachable
Not
Available
Prior Authorization Brownell John Cedar
Rapids
Linn Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Prior Authorization Des Moines Polk Closed -
Unreachable
Not
Available
Prior Authorization Des Moines Polk Closed -
Unreachable
Not
Available
Prior Authorization Boone Boone Closed -
Unreachable
Not
Available
CHC ISEIA Burlington Des Moines Closed -
Enrolled
Not
Available
ATLANTIC MED CTR Atlantic Cass Closed -
Declined
Not
Available
UNIVERSITY OF IA
SOUTHEAST IA
Moscow Muscatine Closed -
Unreachable
Not
Available
Shununddoah
Medical Center
Shenandoah Page Closed -
Declined
Not
Available
Prior Authorization Conrad Grundy Closed -
Intake Only
Not
Available
Prior Authorization Eldridge Scott Closed -
Unreachable
Not
Available
unknown 321 MILL
ST
akron wolft david gowrie Plymouth Closed -
Unreachable
Not
Available
UILLISCA FAM
HEALTH
Villisca Montgomery Closed -
Unreachable
Not
Available
MEDICAL
ASSOCIATES
KAUFFMAN THERS
A
Clinton Clinton Closed -
Unreachable
Not
Available
Prior Authorization Wintermote Heidi Prairie City Jasper Closed -
Already
Participating
Not
Available
McCrary Kost Pomeroy Calhoun Closed -
Unreachable
Not
Available
MC CRARY ROST
CLINIC
Closed -
Duplicate
Not
Available
BROOKLYN MED
CLINIC
Brooklyn Poweshiek Closed -
Declined
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
PEOPLES
COMMUNITY
HEALTH CLINIC
Waterloo Black Hawk Closed -
Intake Only
Not
Available
EIMC Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
UNITY POINT EAST
DES MOINES
Des Moines Polk Closed -
Declined
Not
Available
Covenant Waterloo Black Hawk Closed -
Unreachable
Not
Available
Prior Authorization Des Moines Polk Closed -
Unreachable
Not
Available
Shenandoah Medical
Center
King Scott Shenandoah Page Closed -
Enrolled
Not
Available
Prior Authorization Closed -
Unreachable
Not
Available
Prior Authorization DES
MOINES
Polk Closed -
Unreachable
Not
Available
Prior Authorization Des Moines Polk Closed -
Unreachable
Not
Available
Sanford Clinic Rock
Rapids
Roemen Rebecc
a
Inwood Lyon Closed -
Unreachable
Not
Available
SANFORD CLINIC
ROCK RAPIDS
Closed -
Duplicate
Not
Available
Sanford Clinic Rock
Rapids
Roemen Rebecc
a
Inwood Lyon Closed -
Unreachable
Not
Available
New Life Family
Medicine
Krogstad Karen Lenox Taylor Closed -
Unreachable
Not
Available
Prior Authorization Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
Prior Authorization Carroll Carroll Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
METHODIST
PHYSICIANS CLINIC
MCELDERR
Y
THOMA
S
Closed -
Declined
Not
Available
Mercy Medical
Center
Columbus
City
Louisa Closed -
Unreachable
Not
Available
Unknown Clinton Clinton Closed -
Enrolled
Not
Available
Eastern IA Health
Center
Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
Prior Authorization Denison Crawford Closed -
Enrolled
Not
Available
UNITY POINT
CLINIC
Vinton Benton Closed -
Enrolled
Not
Available
Unity Point Family
Practice
Gapp April Fort Dodge Webster Closed -
Unreachable
Not
Available
Prior Authorization 7481
Highway
65/69
Young Sheryl Des Moines Polk Closed -
Unreachable
Not
Available
Community Health
Care
Closed -
Unreachable
Not
Available
Community Health
Plan
Davenport Scott Closed -
Enrolled
Not
Available
Community Health
Care
Davenport Scott Closed -
Intake Only
Not
Available
Mercy Family Care Klise Kurt Perry Dallas Closed -
Unreachable
Not
Available
METHODIST
PHYSICIANS CLINIC
Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Not
Available
Prior Authorization Conesville Muscatine Closed -
Enrolled
Not
Available
Prior Authorization Marengo Iowa Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Prior Authorization Des Moines Polk Closed -
Intake Only
Not
Available
UIHU Muscatine Maharry Michael Lowden Cedar Closed -
Unreachable
Not
Available
Prior Authorization 500 W
River Dr
Davenpo
rt
Chana Davenport Scott Closed -
Enrolled
Not
Available
Douds Medical Clinic Kuder James Fairfield Jefferson Closed -
Enrolled
Not
Available
community health
care
barkley stephan
ie
Davenport Scott Closed -
Ineligible
Not
Available
EASTERN IOWA
HEALTH CTR
Cedar
Rapids
Linn Closed -
Enrolled
Not
Available
UNITY POINT
CLINIC
Belle Plaine Benton Closed -
Enrolled
Not
Available
Peoples Community
Health Clinic
Closed -
Unreachable
Not
Available
PEOPLES
COMMUNITY
HEALTH CLINIC
Closed -
Unreachable
Not
Available
NORTHEAST LA
FAMILY PRACTICE
Waterloo Black Hawk Closed -
Unreachable
Not
Available
Peoples Community
Health Clinic
Waterloo Black Hawk Closed -
Intake Only
Not
Available
COVENANT CLINIO Oelwein Fayette Closed -
Unreachable
Not
Available
Southglen Family
Medicine Unity Point
Des Moines Polk Closed -
Enrolled
Not
Available
UNITY POINT
SOUTHGLEN CLINC
Closed -
Already
Participating
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
VILLISCA FAM
HEALTH CTR
Red Oak Montgomery Closed -
Declined
Not
Available
Prior Authorization Spirit Lake Dickinson Closed -
Enrolled
Not
Available
Prior Authorization Mason City Cerro Gordo Closed -
Unreachable
Not
Available
GUNDERSEN
HEALTH
CONNELLY BARRY New Albin Allamakee Closed -
Enrolled
Not
Available
McFanand Clinic Roodd Megan Marshalltow
n
Marshall Closed -
Unreachable
Not
Available
MERCY FAMILY
MEDICINE
RESIDENCY CLINIC
MOORE CHRIST
OPHER
Mason City Cerro Gordo Closed -
Unreachable
Not
Available
Methodist Physicians
Clinic
Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Not
Available
PRIMARY HEALTH
CARE
State Center Marshall Closed -
Unreachable
Not
Available
Peoples Community
Health Clinic
Waterloo Black Hawk Closed -
Unreachable
Not
Available
IRL East Family
Medicine
Shaik Shalina Fairfax Linn Closed -
Enrolled
Not
Available
EASTERN IOWA
HEALTH CENTER
W Amy Closed -
Unreachable
Not
Available
UNITY POINT
CLINIC FAM MED
NORTH PORT
Muscatine Muscatine Closed -
Unreachable
Not
Available
university of ia hospt
and clinic
Clinton Clinton Closed -
Enrolled
Not
Available
COMMUNITY
HEALTH CARE
Davenport Scott Closed -
Intake Only
Not
Available
Atkins Family Medical
Center
Vinton Benton Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Prior Authorization 2605 SW
White
Birch
Drive
Ankeny Zea Erin Ankeny Polk Closed -
Enrolled
Not
Available
Prior Authorization 1010 4th
Street
SW,
Suite 340
Mason
City
Kuhn Hayley Mason City Cerro Gordo Closed -
Intake Only
Not
Available
Eastern Iowa Health
Center
Hiawatha Linn Closed -
Unreachable
Not
Available
CHC Davenport Scott Closed -
Unreachable
Not
Available
Mercy Family
Residency
Jewell Brianna Garner Hancock Closed -
Unreachable
Not
Available
Prior Authorization Clarence Cedar Closed -
Unreachable
Not
Available
Prior Authorization Laurens Pocahontas Closed -
Enrolled
Not
Available
Prior Authorization Liscomb Marshall Closed -
Unreachable
Not
Available
Unity Point Southglen Young Sheryl Des Moines Polk Closed -
Unreachable
Not
Available
HCHC Physicians
and Clinics
Bonnesen Kendra New London Henry Closed -
Already
Participating
Not
Available
HCHC Physicians
and Clinics
Bonnesen Kendra New London Henry Closed -
Already
Participating
Not
Available
OB GYN
ASSOCIATES
Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
Mercy Family Clinic
Clear lake
Jones Anne Clear Lake Cerro Gordo Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Peoples Clinic Butler
County
Duclos Sharon Evansdale Black Hawk Closed -
Enrolled
Not
Available
MERCYCARE MED
DISTRICT
Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
COUENANT CLINIC
PULMONOLOGY
Nashua Chickasaw Closed -
Unreachable
Not
Available
EIHC Schabillion Rose Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
Prior Authorization Logan Harrison Closed -
Declined
Not
Available
COMMUNITY
HEALTH CARE
Closed -
Duplicate
Not
Available
COMMUNITY
HEALTH CARE
Davenport Scott Closed -
Enrolled
Not
Available
PEOPLES
COMMUNITY
HEALTH CLINIC
Waterloo Black Hawk Closed -
Ineligible
Not
Available
OPTHALMOLOGY IA
RIVER LANDING
Conesville Muscatine Closed -
Unreachable
Not
Available
Primary Health Care Dale Allen Marshalltow
n
Marshall Closed -
Unreachable
Not
Available
Eastern Iowa Health
Center
Thatcher Brian Cedar
Rapids
Linn Closed -
Ineligible
Not
Available
Unity Point Clinic Palstrud Steven Muscatine Muscatine Closed -
Enrolled
Not
Available
COVERIAN CLINIC Oelwein Fayette Closed -
Intake Only
Not
Available
MENYCARE
MARION
Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
Primary Health Care Clendening Debora
h
Marshalltow
n
Marshall Closed -
Unreachable
Not
Available
Prior Authorization Coralville Johnson Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Prior Authorization Oskaloosa Mahaska Closed -
Unreachable
Not
Available
Prior Authorization Stroshal Kasey Ames Story Closed -
Invalid
Not
Available
Prior Authorization Famuyid Victoria DUBUQUE Dubuque Closed -
Intake Only
Not
Available
Peoples Community
Health Clinic
Singh Baljit Waterloo Black Hawk Closed -
Unreachable
Not
Available
Peoples Community
Health Clinic
Singh Bayit Waterloo Black Hawk Closed -
Duplicate
Not
Available
Women's Health
Services
Clinton Clinton Closed -
Unreachable
Not
Available
EASTERN IA
HEALTH CTR
Cedar
Rapids
Linn Closed -
Intake Only
Not
Available
Lucas County Health
Center
Chariton Lucas Closed -
Enrolled
Not
Available
Prior Authorization Osceola Clarke Closed -
Enrolled
Not
Available
Prior Authorization Des Moines Polk Closed -
Enrolled
Not
Available
Prior Authorization Davenport Scott Closed -
Enrolled
Not
Available
Prior Authorization Douds Van Buren Closed -
Declined
Not
Available
Prior Authorization Mount
Vernon
Linn Closed -
Unreachable
Not
Available
Prior Authorization New
Hartford
Butler Closed -
Intake Only
Not
Available
Prior Authorization Akron Plymouth Closed -
Unreachable
Not
Available
Prior Authorization Davenport Scott Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Community Health
Care
Metuge Anee Davenport Scott Closed -
Unreachable
Not Available
CHI CLINIC CRESTON Union Closed -
Unreachable
Not Available
CHI CLINIC Closed -
Duplicate
Not Available
FAM MED WEST
DES MOINES
West Des
Moines
Polk Closed -
Enrolled
Not Available
Mason City Clinic Mason City Cerro Gordo Closed -
Unreachable
Not Available
Burgess Family Clinic Walker Chad Castana Monona Closed -
Unreachable
Not
Available
Mercy Care Cedar
Rapids
Linn Closed -
Enrolled
Not
Available
Community Health
Care
Davenport Scott Closed -
Unreachable
Not
Available
Convenient Care Waterloo Black Hawk Closed -
Unreachable
Not
Available
Prior Authorization Sigourney Keokuk Closed -
Unreachable
Not
Available
Prior Authorization Livermore Dr Cedar
Rapids
Linn Closed -
Unreachable
Not
Available
Prior Authorization George
Paulson
Leslie Scott Closed -
Intake Only
Not
Available
Prior Authorization Hajj Kathy Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Not
Available
Regional Health
Center
Geneva Franklin Closed -
Declined
Not
Available
Prior Authorization Lohrville Calhoun Closed -
Unreachable
Not
Available
Prior Authorization Davenport Scott Closed -
Intake Only
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Not
Available
Wankon Gundersen
Health
Connelly Darey Luana Clayton Closed -
Enrolled
Not
Available
Medical Clinic P.C. Zanker Jaylene Hamburg Fremont Closed -
Enrolled
Not
Available
Eastern Iowa Health
Center
Schabilion Rose CEDAR
RAPIDS
Linn Closed -
Intake Only
Not
Available
community health
care
Davenport Scott Closed -
Intake Only
Not
Available
Medical Ass. Low Moor Clinton Closed -
Intake Only
Not
Available
Community Health
Care
Chana Dr Davenport Scott Closed -
Enrolled
Not
Available
Mercy Family Care-
Perry
Noble Jason Woodward Dallas Closed -
Enrolled
Not
Available
Clarinda Medical
Associates
Schmadeke Thomas Clarinda Page Closed -
Intake Only
Not
Available
Prior Authorization Davenport Scott Closed -
Enrolled
Not
Available
Prior Authorization Closed -
Unreachable
Not
Available
Community Health
Care
Jauron Sarah Davenport Scott Closed -
Declined
Not
Available
MERCY WEST FAM
PRACTICE
Johnston Polk Closed -
Unreachable
Not
Available
Unity Point Clinic Fults Angela Belle Plaine Benton Closed -
Duplicate
Page Shenandoah
Physcians Clinic
51601 Holmes Connie Westboro Atchison Closed -
Unreachable
Page Clarinda Medical
Associates
51632 Furst Talisha Braddyville Page Closed -
Unreachable
Palo Alto Palo Alto County
Hospital
3201 1st
St
Emmets
burg
50536 Houge Amber Emmetsburg Closed -
Enrolled
Palo Alto Palo Alto County
Hospital
3201 1st
St
Emmets
burg
50536 Houge Amber Emmetsburg Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Palo Alto Family Practice Clinic 3201 1st
Street
Emmets
burg
50536 Houge Amber Emmetsburg Closed -
Enrolled
Palo Alto Family Practice Clinic 50536 Getta Thomas Ayrshire Palo Alto Closed -
Enrolled
Palo Alto PALO ALTO
COUNTY HOSPITAL
FAMILY PRACTICE
50536 H AMBER Emmetsburg Palo Alto Closed -
Enrolled
Polk Unity Point Family
Medical, Altoona
Francisco Laura Altoona Polk Closed -
Unreachable
Polk Prior Authorization Mercy
East
Village -
1350 Des
Moines
Street
Des
Moines
50309 Mein Lorene Des Moines Polk Closed -
Unreachable
Polk Prior Authorization 5615 NW
86th
Street
Johnsto
n
50131 Heck Barbara Madrid Boone Closed -
Intake Only
Polk Prior Authorization 1801
Hickman
Road
Des
Moines
50314 Hanson Douglas Des Moines Polk Closed -
Enrolled
Polk Prior Authorization 2720 8th
Street
SW
Altoona 50009 Harvey Julia MITCHELLV
ILLE
Polk Closed -
Invalid
Polk Prior Authorization 7481
Hwy
65169
DeMoine
s
50320 Shahid Saima Des Moines Polk Closed -
Unreachable
Polk DMU Clinic 3200
Grand
Ave
DSM 50312 Vargus April Des Moines Polk Closed -
Declined
Polk Broadlawns Internal
Medicine
50314 Maigaard Randy Des Moines Polk Closed -
Declined
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Polk Prior Authorization 6601 SW
9th
Street
Des
Moines
50315 Nordstrom Lindy Des Moines Polk Closed -
Invalid
Polk Mercy Urbandale 50322 Alarcon Carlos Des Moines Polk Closed -
Unreachable
Polk Prior Authorization 320
Watson
Powell Jr
Way
Des
Moines
50309 Steinmann Lori Des Moines Polk Closed -
Enrolled
Polk Prior Authorization 2720 8th
St SW
Altoona 50009 Harvey Julia MITCHELLV
ILLE
Polk Closed -
Invalid
Polk Primary Health Care Flug Ryan Des Moines Polk Closed -
Enrolled
Polk Southglen Unity Point 50320 Shahid Saima Ankeny Polk Closed -
Already
Participating
Polk Southglen Family
Medicine Unity Point
50320 Shahid Saima Des Moines Polk Closed -
Unreachable
Polk Primary Healthcare
Engebretsen Clinic
50320 Flug Ryan Des Moines Polk Closed -
Enrolled
Polk Primary Health Care 50320 Flug Ryan Des Moines Polk Closed -
Intake Only
Pottawattami
e
METHODIST
JENNIE EDMUNSON
HOSPT
Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson
Council
Bluffs
Pottawattami
e
Closed -
Enrolled
Pottawattami
e
METHODIST
JENNIE
EDMUNDSON
HOSPITAL
Council
Bluffs
Pottawattami
e
Closed -
Declined
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Sheppard Kevin Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Sheppard Kevin Council
Bluffs
Pottawattami
e
Closed -
Duplicate
Pottawattami
e
Prior Authorization 1701
West
Broadwa
y
Council
Bluffs
51501 Badalucco Laura Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Prior Authorization 1701
West
Broadwa
y
Council
Bluffs
51501 Badalucco Laura Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Jennie Edmundson
Hospital
933 East
Pierce st
Council
Bluffs
51503 Marar Dr. Council
Bluffs
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Frazzle Dannie Red Oak Montgomery Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Angela
Vogel /
Steven
Hart /
Rachel
Stearne
s
Council
Bluffs
Pottawattami
e
Closed -
Enrolled
Pottawattami
e
Jody Reese 902 S 6th
st
Council
Bluffs
51501 Reese Jodi Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Jeniie
Edmundson Hospital
Glenwood Mills Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Pottawattami
e
Methodist Jennie
Edmudson Hospital
Walnut Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson Hospital
Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson Hospital
Comke Dr Z Persia Harrison Closed -
Unreachable
Pottawattami
e
Methodist Jenni
Edmundson Hosp
51503 Council
Bluffs
Pottawattami
e
Closed -
Intake Only
Pottawattami
e
Methodist Jennie
Edumndson
51503 Council
Bluffs
Pottawattami
e
Closed -
Current
Appointment
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Madson C Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edundson Hospital
51503 Woltemath Hamburg Fremont Closed -
Enrolled
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Sheppard Council
Bluffs
Pottawattami
e
Closed -
Intake Only
Pottawattami
e
Methodist Jennie
Edmundson Hospital
Marquardt R Elk Horn Shelby Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson
933 East
Pierce
Council
Bluffs
51503 Marar Dr Council
Bluffs
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Hosp
Villisca Montgomery Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Hanson Dr Council
Bluffs
Pottawattami
e
Closed -
Already
Participating
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Thippareddi S Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Jennie
Edmundson Hospital
51503 Issacson Todd Shenandoah Page Closed -
Unreachable
Pottawattami
e
Methodist Physicians
Clinic
51503 Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
Methodist Physician
Clinic
51503 McElderry Thomas Crescent Pottawattami
e
Closed -
Declined
Pottawattami
e
Allcare Health Center 51501 Dowling Teresa Council
Bluffs
Pottawattami
e
Closed -
Enrolled
Pottawattami
e
All Care Health
Center
51501 Swampillai Aruntha Council
Bluffs
Pottawattami
e
Closed -
Unreachable
Pottawattami
e
CHI - West Broadway
Clinic
51501 Hill Krista Carter Lake Pottawattami
e
Closed -
Unreachable
Pottawattami
e
CHI Oakland 51560 Bridges Constan
ce
Shelby Shelby Closed -
Unreachable
Pottawattami
e
CHI Oakland 51560 Bridges Constan
ce
Shelby Shelby Closed -
Current
Appointment
Pottawattami
e
Methodist Physicians
Clinic
51503 McElderry Thomas Council
Bluffs
Pottawattami
e
Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Pottawattami
e
Methodist Physician
Clinic
51503 McCool Jessica Carter Lake Pottawattami
e
Closed -
Ineligible
Pottawattami
e
Methodist 51503 Jones Christia
n
Council
Bluffs
Pottawattami
e
Closed -
Duplicate
Pottawattami
e
Methodist Physician's
Clinic
51503 Tymkowych Nadia Council
Bluffs
Pottawattami
e
Closed -
Duplicate
Ringgold Mount Ayr Medical
Clinic
50854 Ricker Bruce Creston Union Closed -
Unreachable
Sac Unity Point Clinic 109
Green St
Lake
View
51450 Blessington Kay Ida Grove Ida Closed -
Ineligible
Scott Prior Authorization 1345
West
Central
Park
Davenpo
rt
52804 Davis Dr Davenport Scott Closed -
Unreachable
Scott Prior Authorization 1345
West
Central
Park
Davenpo
rt
52803 Cavey Andrea DAVENPOR
T
Scott Closed -
Unreachable
Scott Unity Point Fam Med 4311 E
53rd St
Davenpo
rt
52807 Kolner Ben Davenport Closed -
Declined
Scott Prior Authorization 301
North 4th
Avenue
Eldridge 52748 Cloos Carla Eldridge Scott Closed -
Enrolled
Scott Prior Authorization 1820
West 3rd
Street
Davenpo
rt
52802 Cone Regan Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Scott UnityPoint Clinic
Family Medicine 53rd
Street
4311 E
53rd
Street
Davenpo
rt
52807 Aanestad Jennifer Davenport Closed -
Unreachable
Scott Prior Authorization 2140
53rd
Avenue
Bettendo
rf
52722 Salowitz Stacie Davenport Scott Closed -
Declined
Scott Prior Authorizations 2140
53rd
Avenue
Bettendo
rf
52722 Salowitz Stacie Davenport Scott Closed -
Intake Only
Scott Community Health
Care
52801 Barkley Stephan
ie
Davenport Scott Closed -
Already
Participating
Scott Community
Healthcare
52801 Misiag Ashlee Davenport Scott Closed -
Enrolled
Scott Community Health
Care
52801 Besch Dr Davenport Scott Closed -
Enrolled
Scott Pulmonary
Associates
52807 Wong Humphr
ey
Davenport Scott Closed -
Unreachable
Scott Community
Healthcare
52801 Bosch Jacklyn Davenport Scott Closed -
Unreachable
Scott COMMUNITY
HEALTH CARE
500
WEST
RIVER
DR
52801 CHARA Davenport Scott Closed -
Unreachable
Scott Waterford Family
Medicine
52807 Paisley Alisa Davenport Scott Closed -
Already
Participating
Scott Community Health
Care
52801 Barkley Stephan
ie
Davenport Scott Closed -
Enrolled
Shelby Prior Authorization 1220
Chatburn
Ave
Harlan 51537 Heileson Bret HARLAN Shelby Closed -
Invalid
Story McFarland Clinic 50010 Calland Kristy Woodward Dallas Closed -
Unreachable
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Tama Prior Authorization 401 1st
Avenue
Toledo 52342 Parks Sherry Toledo Tama Closed -
Unreachable
Tama Prior Authorization 402
Siegel
Street
Tama 52339 Wille Jerry Tama Tama Closed -
Enrolled
Taylor Lenox Medical Clinic 100 S
Mian St
Lenox 50851 Rubenking Darcy Creston Closed -
Enrolled
Union Greater Regional
Clinic
1610 W
Townline
#200
Creston 50801 Miller Lonny Creston Union Closed -
Unreachable
Van Buren Prior Authorization 304
Franklin
St
Keosaug
ua
52565 Keeder James Douds Van Buren Closed -
Intake Only
Van Buren VBCH Bonaparte
Blinic
52620 Nank Kelsey Farmington Van Buren Closed -
Unreachable
Van Buren Douds Medical Clinic 52551 Kuder James Birmingham Van Buren Closed -
Enrolled
Van Buren Birmingham Rural
Health Clinic
52535 Striegel BeLinda Birmingham Van Buren Closed -
Intake Only
Van Buren Douds Medical Clinic 52551 Kuder James Douds Van Buren Closed -
Current
Appointment
Wapello Prior Authorization 107
North 3rd
Street
Eddyville 52553 Bechtel Shelley Eddyville Wapello Closed -
Enrolled
Wapello Prior Authorization 107 N
3rd St
Eddyviell
e
52553 Bechtel Shelley Kirkville Wapello Closed -
Enrolled
Wapello Prior Authorization 107
North 3rd
Street
Eddyville 52553 Bechtel Shelley Eddyville Wapello Closed -
Enrolled
County Clinic Name Clinic
Address
Clinic
City
Clinic
Zip
Code
Referred By
Last Name
Referre
d By
First
Participant
City
Participant
County
Status
Wapello Prior Authorization 1013
Pennsylv
ania
Avenue
Ottumwa 52501 Dawson Shawn New Sharon Mahaska Closed -
Unreachable
Webster Prior Authorization 126 N
10th St
Fort
Dodge
50501 Zigrang Jennifer FORT
DODGE
Webster Closed -
Unreachable
Webster PRIMARY
HEALTHCARE
50518 Swinton Tim Toledo Tama Closed -
Unreachable
Webster Unity Point Family 50501 Gapp April Closed -
Already
Participating
Winnebago Mercy Family Clinic Lake
Mills
50450 Keller Pamela Lake Mills Winnebago Closed -
Unreachable
Winnebago Mercy Family Clinic Lake
Mills
50450 Keller Lake Mills Winnebago Closed -
Declined
Winnebago Prior Authorization 635 East
Highway
9
Forest
City
50436 Carlson Byron Forest City Winnebago Closed -
Intake Only
Winnebago Mercy Family Clinich Buffalo
Center
50424 Carlson Byron Buffalo
Center
Winnebago Closed -
Enrolled
Woodbury Mercy Medical
Center Sioux City
801 5th
St
Sioux
City
51101 Paugh Brian Sioux City Woodbury Closed -
Unreachable
Woodbury Mercy Medical
Center
51102 Sioux City Woodbury Closed -
Already
Participating
Woodbury Mercy Medical
Center Sioux City
51102 Sioux City Woodbury Closed -
Unreachable
Woodbury FAMILY NEDICINE
CENTER
51104 PALLONE DR
STEPH
EN
Sioux City Woodbury Closed -
Already
Participating
Wright Hayley Kuhn 1010 4th
St Ste
340
Mason
City
50101 Closed -
Intake Only