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PEOPLES COMMUNITY HEALTH CLINIC, INC
NPI 1255095477
Clinic/Center - Federally Qualified Health Center (FQHC) in Waterloo, IA

Active since October 25, 2021
1505 LOGAN AVE, WATERLOO, IA 50703(319) 433-2500 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1255095477
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePEOPLES COMMUNITY HEALTH CLINIC, INC
Location Address1505 LOGAN AVEWaterloo, IA 50703-1910
Mailing Address905 Franklin StWaterloo, IA 50703-4407 · (319) 874-3000
Phone(319) 433-2500
Organization SubpartYes
Authorized OfficialBeth WhiteHr Administrator · (319) 874-3000
Enumeration DateOctober 25, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1255095477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1505 LOGAN AVE, Waterloo, IA 50703
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Other Names 1

Doing Business AsSuccess Street - Carver Academy

Other Identifiers 2

Medicaid0076372IA
Other15689IA · Wellmark Blue Cross And Blue Shield

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.

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.