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HAMILTON COUNTY PUBLIC HOSPITAL NPI 1508481243


NPI Information

NPI: 1508481243
Provider Name: HAMILTON COUNTY PUBLIC HOSPITAL

Doing Business As: VAN DIEST FAMILY HEALTH CLINIC OF FORT DODGE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D2122345

Address:
119 AVENUE O W
FORT DODGE, IA
ZIP 50501
Phone: (515) 955-9200
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HAMILTON COUNTY PUBLIC HOSPITAL is a family medicine in Fort Dodge, 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. HAMILTON COUNTY PUBLIC HOSPITAL NPI is 1508481243. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Van Diest Family Health Clinic Of Fort Dodge.

The provider's business location address is:

119 AVENUE O W
FORT DODGE, IA
ZIP 50501-634
Phone: (515) 955-9200

The provider's authorized official is Alice Ann Heinrichs .
The authorized official title is Cfo and has the following contact phone number (515) 832-9400.

The CLIA number assigned to this NPI record is 16D2122345 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 4/9/2021.


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
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineYes
3261QR1300XClinic/CenterRural HealthNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo

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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