PRAIRIE CITY MEDICAL CLINIC
NPI 1245712942
Non-Pharmacy Dispensing Site in Prairie City, IA

Active since August 30, 2018CLIA 16D0383111 · Waiver
404 EAST 2ND STREET, PRAIRIE CITY, IA 50228(515) 994-2617(515) 994-2365 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Aug 30, 2018 (2 updates tracked since 2018).

About Prairie City Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE CITY MEDICAL CLINIC (NPI 1245712942) is a healthcare organization registered as a non-pharmacy dispensing site in Prairie City, Iowa and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Robert D. Kroese, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245712942
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePELLA REGIONAL HEALTH CENTER
Location Address404 EAST 2ND STREETPrairie City, IA 50228-0430
Mailing Address404 East 2nd StreetPrairie City, IA 50228-0430 · (515) 994-2617 · Fax (515) 994-2365
Fax(515) 994-2365
Organization SubpartNo
Authorized OfficialRobert D. KroeseCeo · (641) 628-6604
Enumeration DateAugust 30, 2018
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
NPI 1245712942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

404 EAST 2ND STREET, Prairie City, IA 50228

Other Names 1

Doing Business AsPrairie City Medical Clinic

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0383111

Prairie City Medical Clinic · Prairie City, IA
Active · expires Nov 30, 2026
CLIA Number16D0383111
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorSeth Streeter
Laboratory Phone(515) 994-2617
Laboratory LocationPrairie City Medical Clinic404 E 2nd St, Prairie City, IA 50228
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
404 EAST 2ND STREET
PRAIRIE CITY, IA 50228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pella Regional Health Center's NPI number?

The NPI number for Pella Regional Health Center is 1245712942. It was assigned to this organization in the NPPES registry on August 30, 2018. The provider is doing business as Prairie City Medical Clinic.

Where is Pella Regional Health Center located?

Pella Regional Health Center is located at 404 East 2nd Street, Prairie City, IA 50228. The listed phone number is (515) 994-2617.

What is Pella Regional Health Center's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Pella Regional Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0383111) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pella Regional Health Center accept?

Health plans from Medica and Moda Health Plan, Inc. list Pella Regional Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pella Regional Health Center was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.