IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI 1225582505

NPI Information

NPI: 1225582505
Provider Name: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing Business As: UNITYPOINT CLINIC PEDIATRICS FORT DODGE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
804 KENYON RD
STE D
FORT DODGE, IA
ZIP 50501
Phone: (515) 574-6855
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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION is a rural health clinic center in Fort Dodge, IA. IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI is 1225582505. The provider is registered as an organization entity type.
The provider Is Doing Business As Unitypoint Clinic Pediatrics Fort Dodge.

The provider's business location address is:

804 KENYON RD
STE D
FORT DODGE, IA
ZIP 50501-744
Phone: (515) 574-6855
Fax: (515) 573-7274

The provider's authorized official is David Williams .
The authorized official title is President/ceo and has the following contact phone number (515) 471-9200.

The CLIA number assigned to this NPI record is 16D0980477 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 12/4/2016.

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	168961	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

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