PEOPLES COMMUNITY HEALTH CLINIC, INC
NPI 1255095477
Clinic/Center - Federally Qualified Health Center (FQHC) in Waterloo, IA
About Peoples Community Health Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEOPLES COMMUNITY HEALTH CLINIC, INC (NPI 1255095477), doing business as Success Street - Carver Academy, is a healthcare organization registered as a federally qualified health center (fqhc) in Waterloo, Iowa and active in the NPI registry since October 2021. The organization lists Beth White, Hr Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peoples Community Health Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
46Medicare enrollment records show 46 clinicians reassign Medicare billing to Peoples Community Health Clinic, Inc, which bills Medicare for the services they deliver. Of these, 28 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 46Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Peoples Community Health Clinic, Inc's NPI number?
The NPI number for Peoples Community Health Clinic, Inc is 1255095477. It was assigned to this organization in the NPPES registry on October 25, 2021. The provider is doing business as Success Street - Carver Academy.
Where is Peoples Community Health Clinic, Inc located?
Peoples Community Health Clinic, Inc is located at 1505 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 433-2500.
What is Peoples Community Health Clinic, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Peoples Community Health Clinic, Inc enrolled in Medicare?
Yes. Peoples Community Health Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peoples Community Health Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 10 Medicare specialties reassign their Medicare billing to Peoples Community Health Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Dentist (7) and Clinical Social Worker (5). Of these, 28 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Peoples Community Health Clinic, Inc was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peoples Community Health Clinic, Inc · NPI 1255095477
Federally Qualified Health Center (FQHC) organization in Waterloo, Iowa. Organization record, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1255095477 (Entity type: Organization)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Success Street - Carver Academy (Doing Business As)
- **Organization subpart:** Yes (part of Peoples Community Health Clinic, Inc)
- **Authorized official:** Beth White, HR ADMINISTRATOR
## Practice location
- **Address:** 1505 LOGAN AVE, Waterloo, IA 50703-1910
- **Phone:** (319) 433-2500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 46 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Dentist (7), Clinical Social Worker (5); 28 practice within 10 miles; [full list](https://npiprofile.com/npi/1255095477/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2021
- **Other identifiers:** Medicaid 0076372 (IA); Other 15689 (IA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1255095477) · Data from the CMS NPPES public registry.