Provider Demographics
NPI:1114906906
Name:ALL CARE HEALTH CENTER
Entity Type:Organization
Organization Name:ALL CARE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS REC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOBODNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-325-1990
Mailing Address - Street 1:902 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51501-6441
Mailing Address - Country:US
Mailing Address - Phone:712-325-1990
Mailing Address - Fax:712-325-0288
Practice Address - Street 1:902 S 6TH ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-6441
Practice Address - Country:US
Practice Address - Phone:712-325-1990
Practice Address - Fax:712-325-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA161814OtherMEDICARE FQHC
IA71160OtherWELLMARK
IA004587OtherWELLMARK
IA161803OtherMEDICARE UGS
IACH0630OtherRAILROAD MEDICARE
IA0188946Medicaid
IA49614OtherMEDICARE PART B
IA70630OtherWELLMARK
IA70706OtherWELLMARK