Organization Active NPI

North Central Occupational Medicine & Walk in Clinic,PLLC

  • Clinic/Center
  • Fort Dodge, IA
National Provider Identifier
1043912330
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTH CENTRAL OCCUPATIONAL MEDICINE & WALK IN CLINIC,PLLC
Practice address
30 N 27TH St
Fort Dodge, IA 50501-4331
Phone
(713) 358-3054
NPI assigned
Mar 20, 2023
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Morgan Flaherty Flaherty, ARNP
Title
Owner
Phone
(712) 358-3054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

30 N 27TH St
Fort Dodge, IA 50501-4331

Mailing address

3 N 15TH St
Fort Dodge, IA 50501-4243
Phone (713) 358-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230829001812 IA Part B Supplier - Clinic/Group Practice 6709249410 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Dodge, IA

National Provider Directory

National Provider Directory

Locations

3 N 15th St
Fort Dodge, IA 50501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1043912330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N 15TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014243",
            "telephone_number": "713-358-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 27TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014331",
            "telephone_number": "713-358-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL OCCUPATIONAL MEDICINE & WALK IN CLINIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "FLAHERTY",
        "authorized_official_first_name": "MORGAN FLAHERTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-358-3054",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "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 Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.