OTTUMWA HEALTH GROUP LLC NPI 1649891722

NPI Information

NPI: 1649891722
Provider Name: OTTUMWA HEALTH GROUP LLC

Doing Business As: EASYCARE WALK IN CLINIC

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

Specialization: Rural Health

Address:
1013 PENNSYLVANIA AVE STE E
OTTUMWA, IA
ZIP 52501
Phone: (641) 684-3200
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OTTUMWA HEALTH GROUP LLC is a rural health clinic center in Ottumwa, IA. OTTUMWA HEALTH GROUP LLC NPI is 1649891722. The provider is registered as an organization entity type.
The provider Is Doing Business As Easycare Walk In Clinic.

The provider's business location address is:

1013 PENNSYLVANIA AVE STE E
OTTUMWA, IA
ZIP 52501-110
Phone: (641) 684-3200
Fax: (641) 682-0204

The provider's authorized official is Monica Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The CLIA number assigned to this NPI record is 16D2154559 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 10/5/2023.

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

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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