GOODWILL INDUSTRIES OF NE IOWA INC NPI 1760548440

NPI Information

NPI: 1760548440
Provider Name: GOODWILL INDUSTRIES OF NE IOWA INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2640 FALLS AVE
WATERLOO, IA
ZIP 50701
Phone: (319) 234-4626
Get Directions

GOODWILL INDUSTRIES OF NE IOWA INC is a hospice care community based in Waterloo, IA. GOODWILL INDUSTRIES OF NE IOWA INC NPI is 1760548440. The provider is registered as an organization entity type.

The provider's business location address is:

2640 FALLS AVE
WATERLOO, IA
ZIP 50701-722
Phone: (319) 234-4626
Fax: (319) 234-2504

The provider's authorized official is David E Boyd .
The authorized official title is President Ceo and has the following contact phone number (319) 234-4626.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 10/10/2007.

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	Primary
1	251S00000X	Community/Behavioral Health	No
2	251C00000X	Day Training, Developmentally Disabled Services	No
3	251G00000X	Hospice Care, Community Based	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
1	0092866	MEDICARE ID-TYPE UNSPECIFIED	IOWA
2	0234286	MEDICAID	IOWA
3	0741801	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »