Iowa Physicians Clinic Medical Foundation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Practice address

1428 2ND Ave N
Fort Dodge, IA 50501-4119

Phone

(515) 574-6110

Fax

(515) 573-3908

NPI assigned

Sep 15, 2016

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Williams

Title

President/Ceo

Phone

(515) 471-9200

Specialties & licenses 1

Addresses

Other names 1

• UNITYPOINT CLINIC FAMILY MEDICINE SECOND AVENUE NORTH Doing business as

Part of

Jeffrey Carandall MD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480809600000",
    "number": "1003364316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503061455",
            "telephone_number": "515-471-9300",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014119",
            "telephone_number": "515-574-6110",
            "fax_number": "515-573-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-12-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-471-9200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT CLINIC FAMILY MEDICINE SECOND AVENUE NORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Dermatology Clinic PLC
• Iowa ENT & Sinus Surgery Center PC
• Iowa Hearing Associates LLC
• Iowa Home Care LLC
• Iowa Oto Head and Neck Specialists PC
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Specialty Hospital - Clarion
• Emma Jean Irving

• Rural Health Clinic/Center in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.