ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Adams Prior Authorization 601 Rosary Drive Corning 50841 Okpagu Brittany Corning Adams

Closed -

Unreachable

Allamakee Prior Authorization 105 E Main St Waukon 52172 Ross Ben Postville Allamakee

Closed - Intake

Only

Appanoose Mercy Medical Clinic Centerville 19876 St Joseph Dr Centerville 52544 Belloma Carol Centerville Appanoose Closed - Enrolled

Appanoose Prior Authorization 19876 St Joseph Centerville P Cassie Centerville Appanoose

Closed -

Unreachable

Audubon Audubon Family Healthcare 50025 Irlmeier Anissa Audubon Audubon

Closed -

Unreachable

Audubon Audubon Family Healthcare Clinic 50025 Stubbs Christopher Audubon Audubon

Closed -

Unreachable

Benton Atkins Family Medical Center Vogeler Stephanie Cedar Rapids Linn

Closed -

Unreachable

BlackHawk Greenhill 1015 S Hackett Rd Waterloo 50701 Christ Meredith Waterloo Black Hawk Closed - Enrolled

BlackHawk Covenant Clinic 50702 Pathmanathan Suba Waterloo Black Hawk Closed - Declined

BlackHawk Covenant Medical Center 50702 Mustafic Unknown Waterloo Black Hawk

Closed -

Unreachable

BlackHawk Partners in Ob/Gyn 50702 Solheim Karla Waterloo Black Hawk Closed - Duplicate

BlackHawk Prior Authorization

2055 Kimball Ave Ste

400 Waterloo 50702 Bernstrom Mitchel Waterloo Black Hawk

Closed - Intake

Only

BlackHawk Family Medicine Waterloo Unity Point Clinic 50703 Gettman Suzanne Independence Buchanan

Closed -

Unreachable

BlackHawk Family Medicine Waterloo UnityPoint Clinic 50703

Martha Hall /

Timothy Waterloo Black Hawk Closed - Duplicate

BlackHawk People Community Health Clinic 50703 Ijaz Kiran Waterloo Black Hawk

Closed - Intake

Only

BlackHawk Peoples Community Health Clinic 905 Franklin st Waterloo 50703 Waterloo Black Hawk

Closed -

Unreachable

BlackHawk Peoples Community Health Clinic 50703 Gutz Emily Waterloo Black Hawk Closed - Declined

BlackHawk Peoples Community Health Clinic 50703 Kane Sarah Waterloo Black Hawk Closed - Enrolled

BlackHawk Prior Authorization 3562 Lafayette Rd Evansdale 50707 Crawford Tammy Evansdale Black Hawk

Closed -

Unreachable

BlackHawk Prior Authorization 3562 Lafayette Road Evansdale 50707 Crawford Tammy Evansdale Black Hawk

Closed -

Unreachable

BlackHawk Covenant Clinic Pathimanathan Suba Waterloo Black Hawk

Closed -

Unreachable

BlackHawk COVENANT MIDWIVES & WOMEN'S HEALTH Closed - Invalid

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

BlackHawk Family Medicine Waterloo Waterloo Black Hawk Closed - Enrolled

BlackHawk Family Medicine Waterloo Hall Martha Waterloo Black Hawk

Closed - Already

Participating

BlackHawk FM waterloo Horrigan TIm Waterloo Black Hawk Closed - Enrolled

BlackHawk PEOPLES COMMUITY HEALTH CLINIC IJAZ KIRAN Waterloo Black Hawk

Closed -

Unreachable

BlackHawk Peoples Community Health Clinic Bonthuis Heidi Evansdale Black Hawk Closed - Enrolled

BlackHawk PEOPLES COMMUNITY HEALTH CLINIC GUTZ EMILY Waterloo Black Hawk Closed - Enrolled

BlackHawk Prior Authorization 601 Highway 218 N Renaud Troy La Porte City Black Hawk Closed - Enrolled

Boone Boone County Comp Specialty 50036 McIntire Tracey Coon Rapids Carroll

Closed -

Unreachable

Boone

BOONE COUNTY COMPREHENSIVE

SPECIALTY CLINIC 564 K AVENUE BOONE 50036 TEMPLE DR. Boone Boone

Closed -

Unreachable

Boone

Boone County Comprehensive Specialty

Clinic 50036 Temple Dr Boone Boone Closed - Duplicate

Boone Comprehensive Specialty Care

1015 Union St Suite

120 Boone 50036 McIntire Tracy

Closed -

Unreachable

Bremer Waverly Health Center Tripoli Bremer

Closed -

Unreachable

Bremer Waverly Health Center- Women's Clinic Rathe Ann Nashua Chickasaw

Closed -

Unreachable

Buchanan Prior Authorization 1094 220th Street Jesup 50648 Feldkamp Mark Independence Buchanan Closed - Declined

Butler People's Clinic Butler County 50619 Hoelscher Courtney Clarksville Butler

Closed -

Unreachable

Butler Greene Family Clinic - Mercy 50636 Bischott Patricia Greene Butler Closed - Declined

Butler Greene Family Clinic - Mercy 50636 Bischott Patricia Greene Butler Closed - Declined

Butler Prior Authorization 502 3rd Street Parkersburg 50665 Rekers Gina Closed - Enrolled

Carroll Iowa Heart Center 405 S Clark St Carroll 51401 Feijofsky Suzanne Lake City Calhoun Closed - Enrolled

Carroll Prior Authorization

515 North Main

Street Carroll 51401 Iler Linda Carroll Carroll Closed - Invalid

CerroGordo Mercy Interrnal Medicine 50401 Hedrick Lisa Mason City Cerro Gordo Closed - Enrolled

CerroGordo Mercy Medical Center North Iowa 1000 4th St SW Mason City 50401 Taleb Ameen Charles City Floyd Closed - Enrolled

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

CerroGordo Prior Authorization 1010 4th St Suite 240 Mason City 50401 Roy Denul Mason City Cerro Gordo Closed - Invalid

CerroGordo Prior Authorization

1010 4th st sw suite

340 Mason City 50401 Singh Jasjit Mason City Cerro Gordo

Closed -

Unreachable

CerroGordo Prior Authorization

1010 4th Street SW,

Suite 340 Mason City Singh Jasjit

Closed - Intake

Only

Cherokee Cherokee Regional Clinic 300 Sioux Valley Dr Cherokee 51012 Vandelune Chris Cherokee

Closed - Intake

Only

Cherokee Cherokee Regional Clinic 300 Sioux Valley Dr Cherokee 51012 DeRoo Brenda Cherokee Closed - Declined

Cherokee Cherokee Regional Clinic 300 Soiux Valley Dr Cherokee 51012

Mogensen-

Kruger Rebecca Holstein

Closed -

Unreachable

Cherokee Prior Authorization 300 Sioux Valley Dr Cherokee 51012 Vandclune Christopher Cherokee Cherokee Closed - Enrolled

Clay Avera Medical Group Spencer 51301 Peterson Jeffrey Spencer Clay Closed - Declined

Clay Avera Medical Group 51334 Cook Anthony Estherville Emmet Closed - Duplicate

Clay Avera Medical Grp Cook Anthony Estherville Emmet

Closed -

Unreachable

Clay Prior Authorization 337 11th Street SW Spencer Nelson Kathryn Sibley Osceola

Closed - Already

Participating

Clayton Prior Authorization 200 Main Guttenberg 52052 Dikkers Michele Mc Gregor Clayton Closed - Enrolled

Clayton Regional Family Health 702 W Union St Edgewood Christiansen Scot Independence Buchanan Closed - Enrolled

Clinton Community Health Care 52732 Fuller Ashley Clinton Clinton

Closed -

Unreachable

Clinton Community Health Care 52732 Fuller Ashley Clinton Clinton Closed - Duplicate

Clinton MMc-C 52732 Delmar Clinton

Closed -

Unreachable

Clinton Prior Authorization 507 South 4th Street Clinton 52732 Alqulali Mona Clinton Clinton

Closed -

Unreachable

Clinton Prior Authorization

915 13th Avenue

North Clinton 52732 Kauffman Thersa Clinton Clinton Closed - Invalid

Clinton MMc-C Clinton Clinton

Closed -

Unreachable

Clinton MMc-C Camanche Clinton Closed - Enrolled

Clinton Dr Osaro Osaro Clinton Clinton Closed - Enrolled

Dallas MMC ADEL 1120 Greene St Adel 50003 Baltzell Christopher Adel Dallas Closed - Enrolled

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Dallas Merry Clinic Perry Perry 50220 Sohnivej Steven Perry Dallas Closed - Enrolled

Dallas Prior Authorization 30 E Hickman Rd Waukee 50263 Kemp Jenna

West Des

Moines Polk Closed - Ineligible

Dallas Prior Authorization 30 East Hickman Road Waukee 50263 Engel-Brower Hanna Waukee Dallas Closed - Enrolled

Dallas Mercy Clinic Perry Soha Steven Woodward Dallas Closed - Declined

Dallas Mercy Family Care-Perry Noble Jason Polk City Polk

Closed -

Unreachable

Decatur Community Health Centers of Southern Iowa 302 NW 14th St Leon 50144 Spearl Jennifer Leon Decatur

Closed -

Unreachable

Decatur Prior Authorization 302 NE 14th Street Leon 50144 Allen Nathan Garden Grove Decatur

Closed -

Unreachable

DesMoines COMMUNITY HEALTH CENTER 52655 Zwanziger Rebecca Burlington Des Moines

Closed -

Unreachable

DesMoines Community Health Center Southeast Iowa 52655 Lhrig DR TIMOTHY

Closed - Intake

Only

DesMoines

Great River Medical Center - Respiratory

Care 52655 Kiswani-Barley Dr Burlington Des Moines

Closed -

Unreachable

DesMoines Prior Authorization 1225 S Gear Ave

West

Burlington 52655 Keokuk Lee

Closed -

Unreachable

DesMoines BAFP

1225 S Gear Ave Ste

159 W Burl Lake Lisa Burlington Des Moines

Closed -

Unreachable

DesMoines COMMUNITY HEALTH CENTER SE IA Closed - Invalid

DesMoines Great River Medical Center Wapello Louisa

Closed -

Unreachable

Douglas Prior Authorization 10109 Maple Street Omaha 68134 Janssen Misty Council Bluffs Pottawattamie Closed - Enrolled

Douglas Prior Authorization 10109 Maple Street Omaha 68134 Janssen Misty Council Bluffs Pottawattamie Closed - Enrolled

Dubuque Care for Yourself 52001

Visiting Nurse

Association Dubuque Dubuque

Closed -

Unreachable

Dubuque MEDICAL ASSOCIATES 52001 STILLE DR RYAN Dubuque Dubuque Closed - Enrolled

Dubuque Medical Associates 52001 Wetscher Sara Dubuque Dubuque

Closed -

Unreachable

Dubuque Unity Point Clinic Finley Cardiology

350 North Grandview

Ave Suite G3300 Dubuque 52001 Khan Tauseef Dubuque Dubuque

Closed -

Unreachable

Dubuque Unity Point Clinic Finley Cardiology

350 North Grandview

Ave Suite G3300 Dubuque 52001 Kahn Tauseef Dubuque Dubuque Closed - Enrolled

Dubuque Medical Associates Family Medicine Wetscher Sara Dubuque Dubuque

Closed - Already

Participating

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Fayette Covenant Clinic 50662 Davis Gayla Fairbank Buchanan

Closed -

Unreachable

Fayette COVENANT CLINIC 50662 Davis Gayla Closed - Declined

Fayette Prior Authorization 129 8th Avenue SE Oelwein 50662 Dalil Nasredin Oelwein Fayette Closed - Enrolled

Floyd Prior Authorization 1501 S Main St Ste 1 Charles City 50616 Schweiler David Charles City Floyd

Closed -

Unreachable

Franklin MCRHC Osage Clinic 620 N 8th st Osage 50431 Haganman Mark Osage Mitchell Closed - Duplicate

Fremont Medical Clinic PC 51640 Parshall Kylie Sidney Fremont Closed - Enrolled

Fremont Medical Clinic PC 51653 Golden Kristin Tabor Fremont

Closed -

Unreachable

Guthrie GCH Clinics 50216 Strehle Josh Panora Guthrie

Closed -

Unreachable

Guthrie GCH Clinic Stuart 50250 McCleary Michael Stuart Guthrie

Closed - Already

Participating

Guthrie GCH Clinic McCleary Michael Stuart Guthrie Closed - Enrolled

Hamilton Vandiest Family Clinic 2350 Hospital Dr 50595 Duerr Kathryn Webster City Hamilton

Closed -

Unreachable

Hamilton Vandiest Family Clinic 50595 Ehn Nicole Jewell Hamilton

Closed -

Unreachable

Hardin Iowa Falls Clinic 50126 Schmidt Erin Hampton Franklin

Closed - Intake

Only

Hardin Prior Authorization 920 South Oak Street Iowa Falls 50126 Scott Sarah Coulter Franklin

Closed -

Unreachable

Hardin McFarland Clinic 7413 Eddington Ave Eldora 50627 Henken Abigal Eldora Hardin Closed - Enrolled

Hardin McFarland Clinic Eldora 50627 Heiar Aaron Eldora Hardin Closed - Duplicate

Hardin Prior Authorization 2413 Edginton Ave Eldora 50627 Heiar Aaron Eldora Hardin Closed - Ineligible

Harrison CHI Logan 51546 Grady Carrie Logan Harrison Closed - Enrolled

Harrison CHi Logan 51546 Grady Carrie Logan Harrison

Closed - Already

Participating

Harrison CHI Logan 51546 Alvis Nathaniel Logan Harrison

Closed - Already

Participating

Harrison CHI Logan 51546 Alvis Nathaniel Logan Harrison Closed - Enrolled

Howard Cresco Medical Clinic 52136 Schlangen Tracey Elma Howard Closed - Duplicate

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Howard CVESCO Medical Clinic 52136 Schlangen Tracey Elma Howard

Closed -

Unreachable

Howard Prior Authorization 321 8th Avenue West Cresco 52136 Dutka Jessica Cresco Howard Closed - Enrolled

Iowa Williamsburg Family Medical Clinic 498 N Highland St Williamsburg 52361 Malloy Michelle Brooklyn Poweshiek Closed - Enrolled

Iowa Williamsburg Family Medical Clinic 498 N Highland St Williamsburg 52361 mALLORY mICHELLE Deep River Poweshiek Closed - Enrolled

Jackon Maquokita Family Clinic 52060 Lakin Alyssa Maquoketa Jackson Closed - Declined

Jackson Medical Associates 52060 Petersen Eric Maquoketa Jackson Closed - Ineligible

Jasper Newton Clinic, PC

300 North 4th Avenue

East, Suite 200 Newton 50208 Chan Ty Marshalltown Marshall

Closed -

Unreachable

Jasper Newton Clinic, PC

300 North 4th Avenue

East, Suite 200 Newton 50208 Bantell Stephanie Newton Jasper Closed - Ineligible

Johnson Prior Authorization 1130 S Scott Blvd Iowa City 52240 Lentesnier Matthew Iowa City Johnson

Closed -

Unreachable

Johnson Family Medicine Iowa River Landing East 52241 Banu Hussain Goose Lake Clinton

Closed - Intake

Only

Johnson Family Medicine Iowa River Landing East 52241 Banu Hussain Goose Lake Clinton Closed - Duplicate

Johnson Iowa River Landing East Family Medicine 52241 Shaik Shalina Keokuk Lee

Closed -

Unreachable

Johnson Dental Special Geriatric Dept 322 Dental Science Iowa CIty 52242 Wells Eldridge Scott Closed - Enrolled

Johnson Family Medicine 200 Hawkins Dr Iowa City 52242 Ray Brigit West Branch Cedar

Closed -

Unreachable

Johnson Internal Medicine 200 Hawkins Dr Iowa City 52242 Barker Jason Cedar Falls Black Hawk

Closed -

Unreachable

Johnson Periodontics Clinic Univeristy of IA 52242 Humbert Davenport Scott

Closed -

Unreachable

Johnson UIHC 200 HAWKINS DR IOWA CITY 52242

Closed -

Unreachable

Johnson UIHC - Family Medicine 200 Hawkins Drive Iowa City 52242 Wilcox Garrett Iowa City Johnson Closed - Enrolled

Johnson UIHC Family Med 200 Hawkins Dr Iowa city 52242 Apantaku Elora North English Iowa

Closed -

Unreachable

Johnson University of Iowa Hospitals & Clinics 200 Hawkins Dr Iowa City 52242 Krause Sara Casey Guthrie

Closed -

Unreachable

Johnson Prior Authorization 200 Hawkins Drive Iowa City 52243 Terveen Margaret Cedar Rapids Linn

Closed - Intake

Only

Johnson Prior Authorization 1067 Ryan Court Iowa City 52246 Shi Mei Iowa City Johnson

Closed -

Unreachable

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Johnson Prior Authorization 3 Lions Dr N Liberty 52317 Farrell Angela North Liberty Johnson Closed - Declined

Johnson Johnson County Public Health Iowa City Johnson

Closed -

Unreachable

Johnson Prior Authorization 1765 Lininger Lane North Liberty Taeger Vincent Cedar Rapids Linn

Closed - Already

Participating

Johnson IA River Landing East Family Med Robinson Kathleen Iowa City Johnson

Closed -

Unreachable

Johnson IRL East Family Medicine Shaik Shalina Bennett Cedar

Closed -

Unreachable

Johnson UHIC Ambulatory Care Neutson Andrea Davenport Scott

Closed - Intake

Only

Jones Prior Authorization 1791 Hwy 64 E Anamosa 52205 Schepanski Alissa Tipton Cedar

Closed -

Unreachable

jones EASTERN IOWA HOME HEALTH CARE 52310 Anamosa Jones Closed - Duplicate

Keokuk KCHC Medical Clinic 1314 Stuart Sigourney 52591 Edwards Shelly What Cheer Keokuk Closed - Enrolled

Kossuth Kossuth Regional Health Center Grindberg Algona Kossuth

Closed - Intake

Only

Linn Prior Authorization 200 Virgil Ave Mt Vernon 52314 Daniels Ben Marion Linn

Closed -

Unreachable

Linn Mercycare Community Physicians

600 7th St SE Suite

101 Cedar Rapids 52401 Meeker Monica Cedar Rapids Linn

Closed -

Unreachable

Linn Monica Meeker

600 7th Street SE,

Suite 101 Cedar Rapids 52401 Meeker Monica Cedar Rapids Linn Closed - Enrolled

Linn Prior Authorization

600 7th Street SE,

Suite 101 Cedar Rapids 52401 Meeker Monica Cedar Rapids Linn

Closed -

Unreachable

Linn Eastern Iowa Health Center 52402 Cedar Rapids Linn Closed - Duplicate

Linn Prior Authorization 855 A Ave NE #200 Cedar Rapids 52402 Kapfhamer Kristy Cedar Rapids Linn

Closed -

Unreachable

Linn UnityPoint Multi-Specialty Clinic 52402 Anwer Muhammad Cedar Rapids Linn

Closed -

Unreachable

Linn Eastern Iowa Health Center 52403 Matura Ramya Marion Linn

Closed -

Unreachable

Linn Eastern Iowa Health Center 52403 Maturu Ramya Cedar Rapids Linn

Closed -

Unreachable

Linn Mercy Care Vernon Village

3933 Mt Vernon Rd

SE Cedar Rapids 52403 Soenen Ann Cedar Rapids Linn Closed - Declined

Linn Prior Authorization 1444 2 Ave SE Cedar Rapids 52403 Ramsey Merrilee Cedar Rapids Linn Closed - Enrolled

Linn Prior Authorization 830 4th Ave 8E Ste 1 Cedar Rapids 52404 Younger Ciek Marion Linn Closed - Declined

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Linn Unity Point Westside Family Medicince 52404 Jain Cedar Rapids Linn Closed - Enrolled

Linn UNITY POINT WESTSIDE FAMILY MEDICINE 52404 JAIN DR ANSHUL Toledo Tama

Closed -

Unreachable

Linn Abbe Center 520 11th Street NW Cedar Rapids 52405 Natvig Ellen Hiawatha Closed - Enrolled

Linn Ob Gyn Associates PC 52406 Bemus Scott Monticello Jones

Closed -

Unreachable

Linn EASTER IOWA HEALTH CENTER

Closed -

Unreachable

Linn Eastern IA Health Center Willis Bradley Cedar Rapids Linn

Closed -

Unreachable

Linn Eastern IA Health Center Livermore Ursula Cedar Rapids Linn

Closed - Intake

Only

Linn Eastern IA Health Center Anamosa Jones Closed - Enrolled

Linn Eastern Iowa Health Center CEDAR RAPIDS Linn

Closed -

Unreachable

Linn HYVEE Pharm Albia

UI Womens Hlth 200

Hawkins Dr Iowa City Mazur Eugenia Albia Monroe

Closed - Intake

Only

Linn Prior Authorization

9255 Atlantic Drive

SW Cedar Rapids Vetsch Michelle Cedar Rapids Linn Closed - Invalid

Linn Bowman Woods Family Practice Stewart Teresa Cedar Rapids Linn

Closed -

Unreachable

Linn EIHC Eastern Iowa Health Center Jundal Prachi Cedar Rapids Linn

Closed -

Unreachable

Linn Westside Family Medicine and Urgent Care Cedar Rapids Linn Closed - Enrolled

Lucas Prior Authorization 1200 North 7th Street Chariton 50049 McCune Phillip Chariton Lucas

Closed - Intake

Only

Lyon Sanford Clinic Rock Rapids

803 South Green

Street Rock Rapids 51246 Hamon Beta Rock Rapids Lyon

Closed - Already

Participating

Lyon Sanford Clinic Rock Rapids 51246 Roemen Rebecca Doon Lyon

Closed -

Unreachable

Lyon SANFORD CLINIC ROCK RAPIDS Closed - Ineligible

Mahaska Prior Authorization 1229 C Ave E Oskaloosa 52577 Scott Jen Redfield Dallas Closed - Declined

Mahaska Prior Authorization 1229 C Ave E Oskaloosa 52577 Johannes T Oskaloosa Mahaska

Closed -

Unreachable

Mahaska Plumpod 1229 C Ave East Johauues Tonya University Park Mahaska Closed - Enrolled

Mahaska Prior Authorization 1229 C Ave Oskaloosa Miller Eric Oskaloosa Mahaska

Closed -

Unreachable

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Marion Unity Point Clinic Marion Family Medicine 52302 Konarski Jessica Marion Linn

Closed -

Unreachable

Marshall Primary Health Care 50158 Johnson Becky Marshalltown Marshall Closed - Enrolled

Marshall Prior Authorization 303 Nicholas Drive Marshalltown 50158 Olberding Maria Marshalltown Marshall Closed - Declined

Marshall

CENTERAL IOWA HEALTHCARE-STATE

CENTER CLINIC 50247 George Amanda Marshalltown Marshall Closed - Declined

Minnehaha AVERA MEDICAL GROUP

1301 S CLIFF AVE STE

601 SIOUX FALLS 57105 GROSKREUTZ DR Terril Dickinson Closed - Enrolled

Minnehaha Avera Medical Group Pulmonary 57105 Groskreutz Dr Estherville Emmet Closed - Enrolled

Minnehaha AVERA PULMONARY AND SLEEP 57105 GROSKREUTZ DR Terril Dickinson

Closed - Already

Participating

Minnesota MAYO CLINIC 55905 GARCES DR Farmersburg Clayton

Closed -

Unreachable

Mitchell Prior Authorization 620 North 8th Street Osage 50461 Haganman Mark Osage Mitchell Closed - Enrolled

Monona BARGESS FAMILY CLINIC-MAPLE VALLEY 51034 WALKER CHAD Ute Monona Closed - Duplicate

Monona Burgess Family Clinic-Maple Valley 51034 Walker Chad Ute Monona Closed - Enrolled

Monona FAMILY MEDICINE CLINIC 51040 Closed - Enrolled

Montgomery Villioca Family Health Center 50864 Schmadeke Tom Clarinda Page

Closed -

Unreachable

Montgomery Villisca Family Health Center 50864 Martinez Effie Stanton Montgomery Closed - Enrolled

Montgomery VILLISCA FAMILY HEALTH CENTER Closed - Ineligible

Muscatine UI Health Ventures 52761 Maharry Dr Muscatine Muscatine

Closed -

Unreachable

Muscatine UIHV 52761 Manarry Michael Muscatine Muscatine Closed - Enrolled

Muscatine United Point Clinic 52761 Wiseman Kim 52791

Closed -

Unreachable

Muscatine Prior Authorization 1518 Mulberry Ave Muscatine Muscatine Muscatine

Closed - Intake

Only

Muscatine UI Healthcare Muscatine Nelson Christina Muscatine Muscatine

Closed -

Unreachable

Nebraska Methodist Jennie Edmundson Hosp Missouri Valley Harrison

Closed -

Unreachable

NotAvailable Sanford Hartley 51346 Taene Angela Hartley Obrien Closed - Duplicate

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

NotAvailable DIAB 56267 Mehmert Cathy Burlington Des Moines Closed - Declined

NotAvailable Care For Yourself Jackson Lori Sioux City Woodbury

Closed -

Unreachable

NotAvailable Care For Yourself Waterloo Black Hawk

Closed -

Unreachable

NotAvailable CHC Havenstein Naarah Burlington Des Moines Closed - Declined

NotAvailable CHC Havenstein Naarah Burlington Des Moines Closed - Declined

NotAvailable Community Health Care Davenport Scott

Closed -

Unreachable

NotAvailable Community Health Care Barkley Stephanie Davenport Scott

Closed -

Unreachable

NotAvailable COMMUNITY HEALTH CARE

Closed -

Unreachable

NotAvailable COMMUNITY HEALTH CARE Closed - Enrolled

NotAvailable Community Health Care Metuge Anne Davenport Scott Closed - Declined

NotAvailable Community Health Center Burlington Des Moines Closed - Enrolled

NotAvailable COMMUNITY HEALTH CENTER Closed - Invalid

NotAvailable COMMUNITY HEALTH CENTER

Closed -

Unreachable

NotAvailable COMMUNITY HEALTH CENTER Closed - Invalid

NotAvailable COMMUNNITY HEALTH CTR Closed - Duplicate

NotAvailable FAM MED Closed - Ineligible

NotAvailable Family Medicine Clinic Nieuwenhuis Dr Sioux City Woodbury Closed - Ineligible

NotAvailable Great River Medical Center - Resp Care Jwala Dr

West

Burlington Des Moines Closed - Declined

NotAvailable Health System Luana Clayton

Closed -

Unreachable

NotAvailable Internal Med Central Campus Blaess Michael

Closed -

Unreachable

NotAvailable mcfarland clinic jensen meagan Marshalltown Marshall

Closed -

Unreachable

NotAvailable McFarland Clinic Jefferson Greene Closed - Enrolled

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

NotAvailable Mercy Care Wille Jerry Tama Tama Closed - Enrolled

NotAvailable Mercy Family Care Noble Jason Perry Dallas Closed - Enrolled

NotAvailable Mercy Medical Center Clinton Clinton

Closed - Already

Participating

NotAvailable Mercy Medical Center Davenport Scott

Closed - Intake

Only

NotAvailable Mercy Medical Center Clinton Clinton

Closed -

Unreachable

NotAvailable Mercy Medical center

Closed -

Unreachable

NotAvailable OIHC FAMILY MEDICINE Closed - Enrolled

NotAvailable Parks Family Practice Rowan Erin Des Moines Polk

Closed -

Unreachable

NotAvailable Primary Health Care Meyer Katy Ankeny Polk

Closed - Intake

Only

NotAvailable Primary Health Care Swinton Tim

MARSHALLTO

WN Marshall

Closed -

Unreachable

NotAvailable PRIMARY HEALTH CARE CLENDENING DEBORAH Marshalltown Marshall Closed - Ineligible

NotAvailable Primary Health Care Swinton Unknow Gilman Marshall

Closed -

Unreachable

NotAvailable PRIMARY HEALTH CARE CLINIC Closed - Duplicate

NotAvailable Primary Healthcare at Mercy Bodnia Des Moines Polk

Closed -

Unreachable

NotAvailable Prior Authorization Clarinda Page

Closed -

Unreachable

NotAvailable Prior Authorization Unknown Unknown Des Moines Polk

Closed - Intake

Only

NotAvailable Prior Authorization Laurens Pocahontas

Closed -

Unreachable

NotAvailable Sanford Hartley Obrien

Closed -

Unreachable

NotAvailable Unity Point Cardiology Paton Greene Closed - Enrolled

NotAvailable Unity Point Cardiology Koneru Sushma Indianola Warren Closed - Ineligible

NotAvailable Unity Point Clinic Kim Katie Norwalk Warren

Closed - Already

Participating

NotAvailable Unity Point Clinic Konarske Jessica Marion Linn Closed - Declined

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

NotAvailable Unity Point Clinic Creamer Peggy Muscatine Muscatine Closed - Enrolled

NotAvailable Unity Point Clinic Des Moines Polk Closed - Enrolled

NotAvailable Unity Point Clinic Jit Simran Davenport Scott

Closed - Intake

Only

NotAvailable Unity Point Family Medicine Colon Beth Muscatine Muscatine

Closed -

Unreachable

NotAvailable Unity Point Family Medicine Motto Amanda DAVENPORT Scott Closed - Enrolled

NotAvailable Unity Point Family Medicine Zylstra Lindsay Wyoming Jones Closed - Enrolled

NotAvailable Unity Point Family Medicine Belchle Kevin Eldridge Scott Closed - Ineligible

Page Prior Authorization One Jack Foster Drive Shenandoah 51601 Isaacson Todd Shenandoah Page Closed - Enrolled

Page Shenandoah Physicians Clinic 51601 Wilkinson Susan Shenandoah Page

Closed -

Unreachable

Page Clarinda Medical Associates 220 Essie Davison Dr. Clarinda 51632 Freeman Steven Clarinda Page Closed - Enrolled

Page Clarinda Regional Health Center 51632 Furst Tish Clarinda Page

Closed -

Unreachable

Page CMA 51632 Moales Autumn Clarinda Page

Closed -

Unreachable

Page CRHC 51632 Wilmes Amy Braddyville Page Closed - Enrolled

Page Charinda Regional Medical Center Barley Clarinda Page

Closed -

Unreachable

Page Prior Authorization 1 Jack Foster Drive Isaaacson Todd Shenandoah Page Closed - Enrolled

Page Shenandoah Medical Center Thippareddi Satya Shenandoah Page

Closed -

Unreachable

Plymouth Floyd Valley Healthcare FMC 51031 Schroeder Geri Lynn Le Mars Plymouth Closed - Declined

Pocahontas Prior Authorization 307 West Highway 10 Laurens 50554 Maurer Kylie Laurens Pocahontas

Closed -

Unreachable

Pocahontas Prior Authorization 608 NW 7th St Pocahontas 50574 George Ted Pomeroy Calhoun Closed - Enrolled

Pocahontas Prior Authorization 307 West Highway 10 Maurer Kylie Laurens Pocahontas Closed - Declined

Pocahontas Prior Authorization 307 West Highway 10 Laurens Maurer Kylie Laurens Pocahontas Closed - Enrolled

Polk Prior Authorization 5615 NW 86th St Johnston 50131 Gerrietz Jennifer Carlisle Warren Closed - Enrolled

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Polk Mercy Capitol 4630 Douglas Des Moines 50309 Hawkins Des Moines Polk Closed - Enrolled

Polk Prior Authorization 1350 Des Moines St Des Moines 50309 VanEffen Sara

Closed -

Unreachable

Polk Unity Point Cardiology 50309 Gangi Creston Union Closed - Enrolled

Polk Mercy Beaverdale Clinic 50310 Klemesrud Mary Des Moines Polk Closed - Duplicate

Polk DMU Clinic 3200 Grand Ave Des Moines 50312 Vargas April Des Moines Polk Closed - Enrolled

Polk Prior Authorization 2103 Ingersoll Avenue Des Moines 50312 Shires Robert Des Moines Polk

Closed -

Unreachable

Polk BROADLAWNS FAMILY PRACTICE 1801 HICKMAN ROAD DES MOINES 50314 Des Moines Polk

Closed -

Unreachable

Polk Primary Health Care @ Mercy 50314 Bodnia Elizabeth Des Moines Polk

Closed -

Unreachable

Polk Primary Health Care, Inc. 50314 Lehl Deanna Des Moines Polk

Closed -

Unreachable

Polk Prior Authorization 4821 SW 9th St Des Moines 50315 Young Sheryl Des Moines Polk

Closed - Intake

Only

Polk Prior Authorization

6601 Southwest 9th

Street Des Moines 50315 Darby Anne Altoona Polk Closed - Declined

Polk Prior Authorization 6601 SW 9th St Des Moines 50315 Darby Anne Des Moines Polk

Closed -

Unreachable

Polk Prior Authorization 6601 SW 9th St Des Moins 50315 Nordstrom Lindy Des Moines Polk Closed - Declined

Polk Prior Authorization 2301 E 14th St Des Moines 50316 Rowan Erin Des Moines Polk

Closed - Intake

Only

Polk UNITY POINT CLINCK PARKS AREA 50316 Rowan Erin Des Moines Polk Closed - Declined

Polk Unity Point East Des Moines Family Medicine 50316 Hubbell Alexandra Des Moines Polk Closed - Declined

Polk Primary Health Care 50320 Hall Rebecca Des Moines Polk Closed - Enrolled

Polk Primary Health Care Clinic 50320 Meyer Katy Ankeny Polk Closed - Duplicate

Polk Southglen 50320 Unity Point Des Moines Polk Closed - Enrolled

Polk Southglen FP 7481 Hwy 65/69 Des Moines 50320 Jenkins Jennifer Des Moines Polk Closed - Invalid

Polk Prior Authorization 2901 86th St Urbandale 50322 Piasecki Ed

West Des

Moines Polk Closed - Enrolled

Polk Prior Authorization 2901 86th St Urbandale 50322 Diasecki Ed Urbandale Polk Closed - Enrolled

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Polk Mercy West Family Practice and Urgent Care 50325 Gudgel Elizabeth Des Moines Polk

Closed - Already

Participating

Polk Mercy West Family Practice and Urgent Care 50325 Gudgel Elizabeth Des Moines Polk

Closed - Already

Participating

Polk Prior Authorization 5900 E University Pleasant Hill 50327 Bauch Tawnya Des Moines Polk

Closed -

Unreachable

Polk Prior Authorization 5900 East University Pleasant Hill 50327 Chandani Illa Altoona Polk Closed - Enrolled

Polk Penn Ave Internal Medicine Prendergast Lindsay Saint Marys Warren

Closed -

Unreachable

Polk Primary Healthcare East 3509 E 29th St Convery Louise Bondurant Polk

Closed -

Unreachable

Polk Prior Authorization

1211 Vine Street,

Suite 2224 Fitzgerald Kathleen WDM Polk Closed - Enrolled

Polk UNITY POINT SOUTHGLEN Ankeny Polk Closed - Enrolled

Polk UNITY POINT SOUTHGLEN Closed - Duplicate

Polk Unity Point Southglen Jenkins Jennifer Des Moines Polk Closed - Enrolled

Polk Broadlawns Internal Medicine Consult Clinic Kruse Jason Des Moines Polk

Closed - Already

Participating

Polk Mercy Beaverdale Clinic Klemesrud Mary Des Moines Polk

Closed -

Unreachable

Polk MERCY EAST VILLAGE Closed - Enrolled

Polk Oncol NS 1801 Hickman Rd Des Moines Schuck Julie Altoona Polk

Closed -

Unreachable

Polk Parks Area Clinic NS 2301 E 14th Auh Mukati Des Moines Polk Closed - Enrolled

Polk Southglen Family Practice L Amy Des Moines Polk Closed - Enrolled

Pottawattamie All Care Health Center 51501 Gonzales Kelly Sidney Fremont

Closed -

Unreachable

Pottawattamie CHI Health 51501 Vacek Joyce Council Bluffs Pottawattamie Closed - Enrolled

Pottawattamie Prior Authorization 1701 W Broadway Council Bluff 51501 Quinnette Laura Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie Prior Authorization

3135 W Broadway Ste

100 Council Bluffs 51501 Amebuster Jamie Council Bluffs Pottawattamie Closed - Enrolled

Pottawattamie All Care Health Center 51503 Quillen Christy Council Bluffs Pottawattamie Closed - Declined

Pottawattamie Heartland Oncology and Hematology 51503 Hussain Sakeer Neola Pottawattamie

Closed -

Unreachable

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Pottawattamie Methodist Council Bluffs Ob/Gyn 51503 Platt Lori Council Bluffs Pottawattamie Closed - Enrolled

Pottawattamie Methodist Edmunson 51503 Stearnes Rachel Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie METHODIST JEANIE EDMUNDSON HOSP 51503 Council Bluffs Pottawattamie Closed - Enrolled

Pottawattamie Methodist Jennie Edmundson 51503 Hart Dr Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie Methodist Jennie Edmundson 51503 Reher Evelyn Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie Methodist Jennie Edmundson Hosp 51503 Patel Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie Methodist Jennie Edmundson Hospital 51503 Ayoub Council Bluffs Pottawattamie Closed - Declined

Pottawattamie Methodist Jennie Edmundson Hospital 51503 Red Oak Montgomery Closed - Enrolled

Pottawattamie METHODIST PHYSICAINS CLINIC 51503 MCELDERLY THOMAS Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie Methodist Physician Clinic 51503 McElderry Thomas Council Bluffs Pottawattamie Closed - Enrolled

Pottawattamie Methodist Physicians 51503 Tymkoyco DR Nadia Carson Pottawattamie

Closed - Already

Participating

Pottawattamie Methodist Physicians Clinic 51503 McElderry Thomas Carter Lake Pottawattamie

Closed -

Unreachable

Pottawattamie Prior Authorization 1751 Madison Ave Council Bluffs 51503 Hinzmann Elizabeth Carter Lake Pottawattamie Closed - Declined

Pottawattamie Methodist Physians 57503 McElderly Thomas Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie All Care Health Center Aabida Afeera Council Bluffs Pottawattamie

Closed - Intake

Only

Pottawattamie All Care Health Center Aabida Afeera Council Bluffs Pottawattamie Closed - Declined

Pottawattamie All Care Health Center Dowleng Teresa Council Bluffs Pottawattamie

Closed - Already

Participating

Pottawattamie METHODIST JENNIE MILERIS PAUL Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie METHODIST JENNIE EDMANDSON HOSP

Closed - Already

Participating

Pottawattamie Methodist Jennie Hosp Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie Methodist Physicians Clinc McElderry Thomas Council Bluffs Pottawattamie

Closed -

Unreachable

Pottawattamie Methodist Physicians Clinic McElderry Thomas Council Bluffs Pottawattamie Closed - Duplicate

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Pottawattamie Prior Authorization 3135 W Broadway Council Bluff Rohatgi Kavish Council Bluffs Pottawattamie

Closed -

Unreachable

Ringgold Mount Ayr Medical Clinic 50854 Schafer Ron Kellerton Ringgold Closed - Duplicate

Ringgold Mount Ayr Medical Clinic 50854 Schafer Ron Kellerton Ringgold Closed - Duplicate

Ringgold Mount Ayr Medical Clinic 50854 Schafer Ron Kellerton Ringgold Closed - Enrolled

Sac Prior Authorization 301 Hynland Ave Sac City 50583 Ceyako Bernadette Newell Buena Vista

Closed -

Unreachable

Sac McCray Rost Clinic 1160 3rd St Lakeview 51450 Mogensen Mark Auburn Sac

Closed -

Unreachable

Scott Genesis Health Group 52722 Hagemann Jason Bettendorf Scott

Closed - Already

Participating

Scott Prior Authorization 2140 53rd Avenue Bettendorf 52722 Salowitz Stacie Davenport Scott

Closed -

Unreachable

Scott Unity Point Clinic B

4480 Utica Ridge Rd

Suite 2236 Betterndorf 52722 Melnta Nilsn Davenport Scott Closed - Declined

Scott Genesis Health Group 301 N 4th St Eldridge 52748 Cloos Carla Eldridge Scott Closed - Ineligible

Scott Prior Authorization 301 North 4th Avenue Eldridge 52748 Cloos Carlos ELDRIDGE Scott Closed - Enrolled

Scott Community Health Care 52801 Metuge Anne Davenport Scott

Closed -

Unreachable

Scott Community Health Care 52801 Metuge Anne Davenport Scott

Closed -

Unreachable

Scott Community Health Care 52801 Javron Sarah Davenport Scott

Closed - Intake

Only

Scott Community Health Care 52801 Barkley Stephanie Davenport Scott

Closed -

Unreachable

Scott Community Health Care 52801 Barkley Stephanie Davenport Scott

Closed - Intake

Only

Scott Cardiovascular Medicine 52803 Sharis Peter Davenport Scott

Closed - Intake

Only

Scott Community Health Care 52804 Chana Davenport Scott Closed - Enrolled

Scott Genesis Family Medical Center 1345 W Central Park Davenport 52804 Alla Davenport Scott

Closed -

Unreachable

Scott Gensis Family Center 1345 W Central Pk Davenport 52804 Cavey DAVENPORT Scott Closed - Declined

Scott Prior Authorization 1345 W Central Pk Davenport 52804 Woodhouse Christina Eldridge Scott Closed - Enrolled

Scott Genesis Pulmonary Associates 52807 Wong Humphrey Davenport Scott

Closed -

Unreachable

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Scott Prior Authorization 4317 53rd Street Joshi Janki Closed - Enrolled

Scott Unity Point Spring St Davenport Scott

Closed - Intake

Only

Scott Community Health Care Misiag Ashlee Davenport Scott Closed - Invalid

Scott Genesis Health Group Hagemann Jason Bettendorf Scott Closed - Enrolled

Scott Medicaid Referral 1345 W Central pk Davenport Cavey Dr Davenport Scott Closed - Enrolled

Scott Prior Authorization 1345 W Central Park Davenport Luong Thang Davenport Scott

Closed -

Unreachable

Scott Prior Authorization 1345 W Central Pk Davenport Kammer Jen ELDRIDGE Scott Closed - Enrolled

Scott Unity Point Clinic B 4480 Utica Ridge Rd Bettendorf Menta Nilesh Davenport Scott Closed - Enrolled

Shelby

Myrtue Center Department of Community

Health 51537

HCCMS Family

Health Services Harlan Shelby

Closed - Already

Participating

Sioux Hawarden Regional Healthcare 51023 Dejager Mindy HAWARDEN Sioux

Closed -

Unreachable

Sioux Hawarden Regional Healthcare 51023 Waddell Beau Hawarden Sioux Closed - Enrolled

South Dakota Avera Pulmonary Ashton Osceola

Closed -

Unreachable

Story McFarland Clinic PC 1215 Duff Ave Ames 50010 Arbulu Ricardo Ames Story

Closed -

Unreachable

Tama Prior Authorization 501 Clark Street Dysart 52224 Menuey Nicole Waterloo Black Hawk Closed - Invalid

Taylor CHI 50833 Watzel Allison New Market Taylor

Closed - Already

Participating

Taylor Hardin Clinic 408 Dodge St Bedford 50833 Kempf Michelle Coin Page

Closed - Intake

Only

Taylor Hardin Clinic 408 Dodge St Bedford 50833 Kempf Michelle Coin Page

Closed - Intake

Only

Taylor Lenox Medical Clinic 100 S Main St Lenox 50851 Rubenking Darcy Lenox Closed - Enrolled

Union GRMC 1700 W Townline St Creston 50801 Miller Lonny Wilton Muscatine Closed - Invalid

VanBuren Prior Authorization 307 Franklin Street Keosauqua 52565 Kuder James Bloomfield Davis Closed - Enrolled

VanBuren Fox RIver Clinic Birmingham Van Buren Closed - Declined

Wapello Eddieville Clinic PO Box 576 107 N 3rd Eddieville 52553 Bechtel Shelley Eddyville Wapello Closed - Enrolled

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Wapello River Hills Community Health Center Walker Kim Ottumwa Wapello Closed - Ineligible

Warren Prior Authorization

307 East Scenic Valley

Avenue Indianola 50125 Olsasky Sarah Milo Warren

Closed -

Unreachable

Washington Prior Authorization

3056 River Crossing

Court Riverside 52327 Cramer Elizabeth Washington Washington

Closed -

Unreachable

Washington Prior Authorization 3056 Rivercrossing Ct Riverside 52327 Bedell David Keokuk Lee

Closed -

Unreachable

Washington WCHC Family Medicine 1230 S Iowa Ave Washington 52353 Prihoda Matthew Washington Closed - Enrolled

Webster Community Health Center 126 North 10th Street Fort Dodge 50501 Turner Darlene Badger Webster

Closed -

Unreachable

Webster Community Heath Center 126 North 10th Street Fort Dodge 50501 Feser Ann Fort Dodge Webster

Closed -

Unreachable

Webster Prior Authorization 126 N10th St Ft Dodge 50501 Ubben Michelle Fort Dodge Webster Closed - Enrolled

Webster Prior Authorization 176 N 10th St Fort Dodge 50501 Ubben Michelle Fort Dodge Webster

Closed -

Unreachable

Webster Prior Authorization 800 Kenyon Rd Fort Dodge 50501 Condon Jennifer Fort Dodge Webster Closed - Enrolled

Webster Prior Authorization 126 North 10th Street Zigrang Jennifer

Closed -

Unreachable

Winneshiek winneshiek medical center 52101 wyffels kristen Decorah Winneshiek

Closed -

Unreachable

Woodbury Prior Authorization 307 East Main Street Anthon 51004 Rusch James Correctionville Woodbury

Closed -

Unreachable

Woodbury Mercy Medical Center Sioux City 51102 Sioux City Woodbury

Closed -

Unreachable

Woodbury Family Medicine Center 51104 Savio Dr Sioux City Woodbury

Closed -

Unreachable

Woodbury Family Medicine Clinic 51104 Nieuwenhuis Dr Dakota City Dakota Closed - Invalid

Woodbury Siouxland Medical Education Foundation 2501 Pierce St Sioux City 51104 Drew Cara Closed - Ineligible

Woodbury Siouxland Medical Education Foundation 2501 Pierce St Sioux City 51104 Drew Cara Closed - Duplicate

Woodbury Prior Authorization 1021 Nebraska Street Sioux City 51105 Sopher Lavone Closed - Declined

Woodbury Sioux Land Community Health 51105 Sioux City Woodbury

Closed -

Unreachable

Woodbury SIOUX LAND COMMUNITY HEALTH CENTER 51105 Closed - Enrolled

Woodbury Sioux Land Community Health Center 51105 Sterud Staci Sioux City Woodbury

Closed -

Unreachable

ClinicCounty Clinic Name Clinic Address Clinic City

Clinic

Zip

Referred By

Last Name

Referred By First

Name Participant City

Participant

County Status

Woodbury Siouxland Community Health Center 51105 Sterud Staci Sioux City Woodbury Closed - Enrolled

Woodbury Siouxland Community Health Center 51105 Sterid Staci Sioux City Woodbury

Closed - Intake

Only

Woodbury Jackson Recovery 800 5th st Sioux City Wurth Rachel Sioux City Woodbury Closed - Enrolled

Woodbury SIOUX LAND COMMUNITY HELATH CENTER WENDEL TYLER Sioux City Woodbury

Closed -

Unreachable

Woodbury SIOUXLAND COMMUNITY HEALTH

Closed -

Unreachable

Wright Iowa Specialty Hospital 50421 Colby Dennis Belmond Wright Closed - Enrolled

Wright Iowa Specialty Hospital Colby Dennis Belmond Wright Closed - Enrolled