Ridge Family Practice, P.C.
NPI 1053300020ActiveOrganization· Family Medicine· Council Bluffs, IA
Family Medicine in Council Bluffs, Iowa, registered in NPPES in October 2005. The authorized official on file is Angela L. Lund, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053300020 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2005 |
| Last updated in NPPES | Feb 21, 2022 |
| Certified by provider | Aug 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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