WAVERLY HEALTH CENTER NPI 1871860569

NPI Information

NPI: 1871860569
Provider Name: WAVERLY HEALTH CENTER

Doing Business As: SHELL ROCK CLINIC

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

Specialization: Rural Health

Address:
1001 MASON WAY
SHELL ROCK, IA
ZIP 50670
Phone: (319) 885-6530
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WAVERLY HEALTH CENTER is a rural health clinic center in Shell Rock, IA. WAVERLY HEALTH CENTER NPI is 1871860569. The provider is registered as an organization entity type.
The provider Is Doing Business As Shell Rock Clinic.

The provider's business location address is:

1001 MASON WAY
SHELL ROCK, IA
ZIP 50670-007
Phone: (319) 885-6530
Fax: (319) 885-6535

The provider's authorized official is Lisa A. Bennett .
The authorized official title is Cfo and has the following contact phone number (319) 352-4120.

The CLIA number assigned to this NPI record is 16D1053312 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/23/2011 and was last updated on 9/25/2013.

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		IOWA	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	168555	MEDICARE OSCAR/CERTIFICATION

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

NPI Synchronization or Removal

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