Ottumwa Health Group LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OTTUMWA HEALTH GROUP LLC

Practice address

1005 Pennsylvania Ave
Ste 204
Ottumwa, IA 52501-6413

Phone

(641) 682-8761

NPI assigned

Jan 17, 2013

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 6

Addresses

Tax ID family

Ottumwa Health Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Ottumwa Health Group LLC

  dba Ottumwa Women's Health Clinic

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1336919364
  NPD tax ID
• Ottumwa Health Group LLC

  dba Ottumwa Primary Care Clinic

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1639861990
  NPD tax ID
• Ottumwa Health Group LLC

  dba EasyCare Walk In Clinic

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1649891722
  NPD tax ID
• Ottumwa Health Group LLC

  dba The Eddyville Clinic

  • Rural Health Clinic/Center
  • Eddyville, IA
  • NPI 1962023663
  NPD tax ID

Locations

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1063750586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "STE 204",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-682-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ottumwa Development (Ottumwa Manor)
• Ottumwa Developments Inc (Vista Woods Care Center)
• Ottumwa ER LLC
• Ottumwa ER LLC
• Ottumwa Express Clinic
• Ottumwa Health Group LLC (Ottumwa Women's Health Clinic)
• Ottumwa Health Group LLC
• Ottumwa Health Group LLC (Ottumwa Primary Care Clinic)
• Ottumwa Health Group LLC (EasyCare Walk In Clinic)
• Ottumwa Health Group LLC (Ottumwa Walk In Clinic)

• Obstetrics & Gynecology Physician in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Obstetrics & Gynecology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.