Organization Active NPI

Freedom Pointe of Greater Webster County

  • Adult Mental Health Clinic/Center
  • Fort Dodge, IA
National Provider Identifier
1013404557
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FREEDOM POINTE OF GREATER WEBSTER COUNTY
Practice address
1303 A St W Ste 3
Fort Dodge, IA 50501-4416
Phone
(515) 408-5957
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Randall Hoover
Title
Program Coordinator
Phone
(515) 408-5917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1303 A St W Ste 3
Fort Dodge, IA 50501-4416

Mailing address

1303 A St W Ste 3
Fort Dodge, IA 50501-4416
Phone (515) 408-5957

National Provider Directory

National Provider Directory

Locations

1303 A St W
Ste 3
Fort Dodge, IA 50501
Phone (515) 408-5957

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1013404557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 A ST W STE 3",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014416",
            "telephone_number": "515-408-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 A ST W STE 3",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014416",
            "telephone_number": "515-408-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM POINTE OF GREATER WEBSTER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "515-408-5917"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.