St Luke'S Jones Regional Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ST LUKE'S JONES REGIONAL MEDICAL CENTER

Doing business as

UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-SHELLSBURG

Practice address

131 Main St NW
Shellsburg, IA 52332-9728

Phone

(319) 436-2040

Fax

(319) 436-2027

NPI assigned

Feb 18, 2018

Organization subpart

Yes

Parent organization

ST LUKE'S JONES REGIONAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Eric Briesemeister

Title

Ceo

Phone

(319) 462-6131

Specialties & licenses 3

Addresses

Other names 1

• UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-SHELLSBURG Doing business as

Part of

St Lukes Jones Reg Med CNTR

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518912000000",
    "number": "1033619804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6131",
            "fax_number": "319-481-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST NW",
            "city": "SHELLSBURG",
            "state": "IA",
            "postal_code": "523329728",
            "telephone_number": "319-436-2040",
            "fax_number": "319-436-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S JONES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKE'S JONES REGIONAL MEDICAL CENTER",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A",
        "authorized_official_last_name": "BRIESEMEISTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-462-6131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-SHELLSBURG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Deborah H Ralston, MD
• Shellsburg Associates
• Vinton-Shellsburg Community School District

• Rural Health Clinic/Center in Shellsburg, IA
• Providers in Shellsburg, 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 Feb 18, 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.