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Floyd Valley Clinics

Patient and Visitor Information

At Floyd Valley Clinics we want to make scheduling an appointment with one of our physicians as easy as possible. Please call ahead to make appointments for all family members you wish to have seen by a physician. When making your appointment, please let the scheduler know the purpose of your visit so that an appropriate amount of time may be allowed. All follow-up appointments should be made by you (the patient) at the time you check out of the clinic.


Patients need to check in at the front desk. They will receive a form with insurance and demographic information they need to verify, making changes if necessary. On your first appointment to Family Medicine Clinics, you will be asked for basic information to establish your patient account.

A patient flow coordinator takes patients to their physician's pod, collects the verified form and insurance card(s). Following the appointment, the patient also checks out in their physicians pod.


Since many of our physicians deliver babies at the hospital and provide backup in the emergency department during office hours, there may be interruptions in the schedule. We realize that your time is valuable. If your time is limited, please call our office before your appointment to inquire if your physician is on schedule.

We would appreciate a twenty-four hour advance notice for all appointment cancellations. There will be a charge after the third missed appointment if notice is not given to our office.

Number for Appointments in Marcus

You may reach the Floyd Valley Clinics at 712-376-4181.

Number for Appointments in Remsen

You may reach the Floyd Valley Clinics at 712-786-1114.

Numbers for Appointments in Le Mars 

Dr Ellen Aquino 712-546-3610
Dr. Andrew Geha 712-546-3680
Dr Sheila Holcomb 712-546-3630
Dr Jolene Meis (Pediatrician) 712-546-3645
Dr Steven Meis 712-546-3660
Dr. Donald Odens TBA Summer of 2015
Dr Paul Parmelee 712-546-3670
PA Cheryl Cronin 712-546-3625
PA Kay Kosters 712-546-3650
NP  TBD 712-546-3655
NP Geri Lynn Specht 712-546-3615

Payments & Billing

Charges are payable at the time treatment or services are given. Patients with insurance are expected to pay the amount of their insurance co-pay at the time of service. Patients without insurance are expected to pay in full the day services are provided. We realize medical services are not always planned for, in these situations payment plans are available. Please contact our office at 712-546-3601 to talk to our representative. Please notify us of any address, phone number or insurance changes to assure accurate maintenance of your account.

Billing statements are sent out monthly and charges are itemized and explained for the last two months the services occurred. Acceptable methods of payment are as follows:

  • Cash
  • Check
  • Visa, MasterCard or Discover

Pay Your Bill Online

Paying your bill online is simple.  Complete the form on the following page including the hospital or clinic account number located on your printed bill.  To contact a patient account representative, call 712-546-3601 from 8:00 AM to 4:30 PM Monday through Friday.

Pay Your Floyd Valley Clinics Bill Online »

Online Payment Refund Policy

All transactions processed on-line at are eligible for a refund if the payee would like to cancel a payment.  To be eligible for a refund, request must be made within three days of payment.

To request a cancellation:

For online patient payments, please contact a clinic patient account representative at 712-546-3601.  For all other online payments, contact the Internet Services Department.

Please allow 5 - 7 business days for a refund.


As a convenience to our patients, Floyd Valley Clinics will file to both your primary and secondary Insurance Carriers. Any remaining balance after a response from your insurance will be your responsibility.

Policy coverage varies from one insurance plan to another, as do the "usual, customary and reasonable" fees that various insurance plans have established. Our fees are accepted by most plans, but occasionally one of our patients is notified that the amount for our service exceeds "UCR FEES". If we do not have a contract with your insurance company, you are responsible for any amount in excess of the "UCR FEES". Please check with your insurance agent to see if we are a participating provider with them to avoid any confusion.

If you have Insurance questions, please call 712-546-3602.


Doctor / Patient Relationship

The relationship between our physicians and their patients is confidential. It is a relationship based on mutual trust and understanding. 

Your medical records are absolutely private. No information about your condition will be given to any third party without your permission (except if required by a court of law).

Workers' compensation claims are the exception. These types of claims are subject to review by employers and/or their insurance carriers.

Click here to view our Privacy information.

Office Hours

Le Mars

Monday 8:00 a.m. - 8:00 p.m.  
Tuesday 8:00 a.m. - 8:00 p.m. 
Wednesday 8:00 a.m. - 8:00 p.m. 
Thursday 8:00 a.m. - 8:00 p.m.  
Friday 8:00 a.m. - 5:00 p.m. 
Saturday 8:00 a.m. - 12:00 p.m. 


Our office doors open at 7:00 a.m. Monday thru Friday for lab draws.

For emergencies after office hours, please call Floyd Valley Healthcare at 712-546-7871.



8:00 a.m. - 12:00 p.m.
1:00 - 5:00 p.m.


8:00 a.m. - 12:00 p.m.


8:00 a.m. - 12:00 p.m.
1:00 - 5:00 p.m. 

Thursday 8:00 a.m. - 12:00 p.m.
Dr. Andrew Geha
Friday 8:00 a.m. - 12:00 p.m.

Phone lines are open 8:00 a.m. - 5:00 p.m. Monday thru Friday.

For emergencies after office hours, please call Floyd Valley Healthcare at 712-546-7871.



8:00 a.m. - 12:00 p.m. Geri Lynn Specht, ARNP-C

12:00 p.m. - 5:00 p.m. Paul Parmelee, DO 

Tuesday 8:00 a.m. - 5:00 p.m.  Geri Lynn Specht, ARNP-C
Wednesday 8:00 a.m. - 12:00 p.m. Steve Meis, MD
Thursday 8:00 a.m. - 12:00 p.m. Cheryl Cronin, PA-C
Friday 8:00 a.m. - 4:30 p.m. Cheryl Cronin, PA-C


Phone lines are open 8:00 a.m. - 5:00 p.m. Monday thru Friday.

For emergencies after office hours, please call Floyd Valley Healthcare at 712-546-7871.


Request Your Medical Records