MEDICARE: WAVERLY HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	363A00000X	Physician Assistant
5	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1578757936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAVERLY HEALTH CENTER

Provider Business Mailing Address
First Line	:	100 WARTBURG BLVD STE 1392
Second Line	:	WARTBURG WAVERLY SPORTS AND WELLNESS CENTER
City	:	WAVERLY
State	:	IA
Zip	:	50677-2215
Country	:	US
Telephone Number	:	319-352-8436
Fax Number	:	319-352-3992

Provider Business Practice Location Address
First Line	:	100 WARTBURG BLVD STE 1392
Second Line	:	WARTBURG WAVERLY SPORTS AND WELLNESS CENTER
City	:	WAVERLY
State	:	IA
Zip	:	50677-2215
Country	:	US
Telephone Number	:	319-352-8436
Fax Number	:	319-352-3992

Authorized Official
Title or Position	:	CEO
Name	:	MS. JODI M GEERTS
Credential	:
Telephone Number	:	319-352-4120

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	06/05/2024

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Directions to “WAVERLY HEALTH CENTER ” Practice Location

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