Provider Type Icon

PALO ALTO COUNTY HOSPITAL NPI 1164434080


NPI Information

NPI: 1164434080
Provider Name: PALO ALTO COUNTY HOSPITAL

Doing Business As: FAMILY PRACTICE CLINIC-WEST BEND

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D0384458

Address:
107 DIVISION ST
WEST BEND, IA
ZIP 50597
Phone: (515) 887-7891
Get Directions

PALO ALTO COUNTY HOSPITAL is a family medicine in West Bend, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PALO ALTO COUNTY HOSPITAL NPI is 1164434080. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Practice Clinic-west Bend.

The provider's business location address is:

107 DIVISION ST
WEST BEND, IA
ZIP 50597-000
Phone: (515) 887-7891
Fax: (515) 887-7893

The provider's authorized official is Desiree A Einsweiler .
The authorized official title is Ceo and has the following contact phone number (712) 852-5401.

The CLIA number assigned to this NPI record is 16D0384458 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 12/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
148687OTHERIOWAWELLMARK
20257287MEDICAIDIOWA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.