HAWARDEN REGIONAL HEALTHCARE CLINICS LLC NPI 1013955004

NPI Information

NPI: 1013955004
Provider Name: HAWARDEN REGIONAL HEALTHCARE CLINICS LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1122 AVENUE L
HAWARDEN, IA
ZIP 51023
Phone: (712) 551-3400
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HAWARDEN REGIONAL HEALTHCARE CLINICS LLC is a rural health clinic center in Hawarden, IA. HAWARDEN REGIONAL HEALTHCARE CLINICS LLC NPI is 1013955004. The provider is registered as an organization entity type.

The provider's business location address is:

1122 AVENUE L
HAWARDEN, IA
ZIP 51023-928
Phone: (712) 551-3400
Fax: (712) 551-2691

The provider's authorized official is Jayson P Pullman .
The authorized official title is Ceo and has the following contact phone number (712) 551-3100.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 7/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16-8503	MEDICARE ID-TYPE UNSPECIFIED	IOWA	CAHABA - RHC CLINIC
2	0685032	MEDICAID	IOWA
3	I14892	MEDICARE PIN	IOWA
4	168503	MEDICARE OSCAR/CERTIFICATION	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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