NPIMap

Organization Active NPI

Woodward Academy

  • Psychiatric Residential Treatment Facility
  • Woodward, IA
National Provider Identifier
1023204773
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
00000 Issued in IA
Legal business name
WOODWARD ACADEMY
Practice address
1251 334TH St
Woodward, IA 50276-7509
Phone
(515) 438-3481
Fax
(515) 438-3489
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Mr. Gerald Duane Anderson
Title
President Woodward Youth Corp
Phone
(515) 438-3481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 00000 IA Primary

Addresses

Primary practice location

1251 334TH St
Woodward, IA 50276-7509

Mailing address

1251 334TH St
Woodward, IA 50276-7509
Phone (515) 438-3481

Other identifiers 1

IdentifierTypeStateIssuer
4104803MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Woodward Academy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1023204773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-3481",
            "fax_number": "515-438-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-3481",
            "fax_number": "515-438-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT WOODWARD YOUTH CORP",
        "authorized_official_telephone_number": "515-438-3481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4104803",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.