Basic Information
| Provider Information | |||||||||
| NPI: | 1447237318 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FOELSKE | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 226 BLUEBELL RD | ||||||||
| Address2: | COVENANT CLINIC-ARROWHEAD MEDICAL CENTER | ||||||||
| City: | CEDAR FALLS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3195755800 | ||||||||
| FaxNumber: | 3195755855 | ||||||||
| Practice Location | |||||||||
| Address1: | 226 BLUEBELL RD | ||||||||
| Address2: | COVENANT CLINIC-ARROWHEAD MEDICAL CENTER | ||||||||
| City: | CEDAR FALLS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3195755800 | ||||||||
| FaxNumber: | 3195755855 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/30/2005 | ||||||||
| LastUpdateDate: | 08/20/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 33888 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 3178145 | 05 | IA | MEDICAID | 080169641 | 01 | IA | RR MEDICARE | OTHER | 1447237318 | 05 | IA | MEDICAID |