Organization Active NPI

Regional Enterprises Inc

  • Substance Abuse Rehabilitation Facility
  • Ottumwa, IA
National Provider Identifier
1033379565
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1265 Issued in IA
Legal business name
REGIONAL ENTERPRISES INC
Practice address
312 E Alta Vista Ave
Ottumwa, IA 52501-1413
Phone
(641) 682-7511
Fax
(641) 683-2862
NPI assigned
Jun 9, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Thomas Siemers
Title
Ceo
Phone
(641) 682-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1265 IA Primary

Addresses

Primary practice location

312 E Alta Vista Ave
Ottumwa, IA 52501-1413

Mailing address

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone (641) 682-7511

Other identifiers 1

IdentifierTypeStateIssuer
1265OtherIASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Ottumwa Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1033379565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-682-7511",
            "fax_number": "641-683-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011413",
            "telephone_number": "641-682-7511",
            "fax_number": "641-683-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SIEMERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-682-7511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IA",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1265",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.