CHI HEALTH MISSOURI VALLEY – Family Medicine Physician, NPI 1023154176
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHI HEALTH MISSOURI VALLEY
Elm Street, Missouri Valley, Harrison County, Iowa, 51555, United States
MISSOURI VALLEY, IA 515551140
Phone: (712) 642-2794
Fax: (402) 642-9338
Type: Location
7261, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
OMAHA, NE 681242311
Phone: (402) 398-6255
Fax: (402) 829-8513
Type: Mailing
118 S 1st Ave
Logan, IA 515461306
Phone: (712) 644-3288
Fax: (712) 644-2964
Type: Location
704 Iowa Ave
Dunlap, IA 515291336
Phone: (712) 643-2298
Fax: (712) 643-5630
Type: Location
518 Lincolnway St
Woodbine, IA 515791238
Phone: (712) 647-2566
Fax: (712) 647-2964
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-29
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 51555)
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