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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
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