MEDICARE: WAVERLY HEALTH CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1184094534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAVERLY HEALTH CENTER

Provider Business Mailing Address
First Line	:	312 9TH ST SW
Second Line	:
City	:	WAVERLY
State	:	IA
Zip	:	50677-2929
Country	:	US
Telephone Number	:	319-352-4120
Fax Number	:	319-352-3992

Provider Business Practice Location Address
First Line	:	202 WILDCAT WAY
Second Line	:
City	:	JANESVILLE
State	:	IA
Zip	:	50647-1016
Country	:	US
Telephone Number	:	319-987-2361
Fax Number	:

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

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	06/05/2024

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Directions to “WAVERLY HEALTH CENTER ” Practice Location

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