NORTHWEST IOWA UROLOGISTS PC NPI 1063465003

NPI Information

  • NPI: 1063465003
  • Provider Name: NORTHWEST IOWA UROLOGISTS PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 16D0385488
  • Address: 1200 1ST AVE E
    SUITE B
    SPENCER, IA
    ZIP 51301
  • Phone: (712) 262-6214

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NPI Details

NORTHWEST IOWA UROLOGISTS PC is a specialist in Spencer, IA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHWEST IOWA UROLOGISTS PC NPI is 1063465003. The provider is registered as an organization entity type.

The provider's business location address is:

1200 1ST AVE E
SUITE B
SPENCER, IA
ZIP 51301-342
Phone: (712) 262-6214
Fax: (712) 262-6216

The provider's authorized official is Walter Leslie Mendenhall .
The authorized official title is President and has the following contact phone number (712) 262-6214.

The CLIA number assigned to this NPI record is 16D0385488 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 1/8/2014.

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
1332B00000XDurable Medical Equipment & Medical Supplies20168IOWANo
2174400000XSpecialist20168IOWANo
3174400000XSpecialist24150IOWAYes

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
118324MEDICARE PINIOWA
20183244MEDICAIDIOWA
3CH00011MEDICARE PINIOWA
4CP8558MEDICARE PINIOWA

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: 11/21/2025

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