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METHODIST PHYSICIANS CLINIC
NPI 1497842223
Durable Medical Equipment & Medical Supplies in Council Bluffs, IA

Active since October 05, 2006CLIA Certified · 2 labs
1001 RISEN SON BOULEVARD, COUNCIL BLUFFS, IA 51503(712) 396-4360(712) 396-7069 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Methodist Physicians Clinic NPPES

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

METHODIST PHYSICIANS CLINIC (NPI 1497842223) is a healthcare organization registered as a durable medical equipment & medical supplies in Council Bluffs, Iowa and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Todd D. Grages, President, as its authorized official.

NPPES Registry Identity

NPI1497842223
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePHYSICIANS CLINIC, INC.
Location Address1001 RISEN SON BOULEVARDCouncil Bluffs, IA 51503
Mailing Address8601 West Dodge Road, Suite # 216Omaha, NE 68114 · (402) 354-4822 · Fax (402) 354-5454
Phone(712) 396-4360
Fax(712) 396-7069
Organization SubpartNo
Authorized OfficialTodd D. GragesPresident · (402) 354-5601
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497842223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1001 RISEN SON BOULEVARD, Council Bluffs, IA 51503
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Other Names 1

Doing Business AsMethodist Physicians Clinic

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 16D0902559

Methodist Physicians Clinic - Council Bluffs East · Council Bluffs, IA
Active · expires Nov 30, 2027
CLIA Number16D0902559
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMs. Tia R. Brandenburg
Laboratory Phone(712) 256-8588
Laboratory LocationMethodist Physicians Clinic - Council Bluffs East1001 Risen Son Boulevard, Council Bluffs, IA 51503
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 16D2110389

Methodist Physicians Clinic - Council Bluffs One Edmundson Place · Council Bluffs, IA
Active · expires Mar 13, 2028
CLIA Number16D2110389
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorStefanie S. Horst
Laboratory Phone(712) 396-4163
Laboratory LocationMethodist Physicians Clinic - Council Bluffs One Edmundson Place1 Edmundson Place, Council Bluffs, IA 51503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Physicians Clinic, Inc.'s NPI number?

The NPI number for Physicians Clinic, Inc. is 1497842223. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Methodist Physicians Clinic.

Where is Physicians Clinic, Inc. located?

Physicians Clinic, Inc. is located at 1001 Risen Son Boulevard, Council Bluffs, IA 51503. The listed phone number is (712) 396-4360.

What is Physicians Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Physicians Clinic, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Physicians Clinic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.