NPIMap

Organization Active NPI

Dewitt ER PC Services

  • Critical Access Hospital
  • De Witt, IA
National Provider Identifier
1003801150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
230149H Issued in IA
Legal business name
DEWITT ER PC SERVICES
Practice address
1118 11TH St
De Witt, IA 52742-1235
Phone
(563) 659-4200
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey M. Cooper
Title
Ceo
Phone
(563) 659-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 230149H IA Primary

Addresses

Primary practice location

1118 11TH St
De Witt, IA 52742-1235

Mailing address

1118 11TH St
De Witt, IA 52742-1235
Phone (563) 659-4200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003801150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 11TH ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527421235",
            "telephone_number": "563-659-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 11TH ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527421235",
            "telephone_number": "563-659-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT ER PC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-659-4200"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "230149H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.