NPIMap

Organization Active NPI

Medical Associates of Clinton, Iowa, P.L.C.

Doing business as Medical Associates Urgent Care

  • Family Medicine Physician
  • Clinton, IA
National Provider Identifier
1063921245
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.
Doing business as
Medical Associates Urgent Care
Practice address
2400 Lillian Way
Clinton, IA 52732-2001
Phone
(563) 243-1200
Fax
(563) 242-0671
NPI assigned
Sep 20, 2017
Organization subpart
Yes
Parent organization
MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Mr. Jay M Collier
Title
Chief Administrative Officer
Phone
(563) 243-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2400 Lillian Way
Clinton, IA 52732-2001

Mailing address

915 13TH Ave N
Clinton, IA 52732-5067
Phone (563) 243-2511

Other names 1

  • Medical Associates Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Assoc Etal PTR6 organizations share this tax ID, including this one
Part of
Medical Assoc Etal PTR

Other organizations with this tax ID 5

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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1063921245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325067",
            "telephone_number": "563-243-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LILLIAN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322001",
            "telephone_number": "563-243-1200",
            "fax_number": "563-242-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "563-243-2511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.