Rabiner Treatment Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

RABINER TREATMENT CENTER

Practice address

1762 Johnson Ave
Fort Dodge, IA 50501-8408

Phone

(515) 573-8444

Fax

(515) 573-8442

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Daun Rae Keefe, LISW

Title

Director of Clinical Services

Phone

(515) 573-1396

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jerry Rabiner Memorial Boys' Ranch Former legal business name

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1104973148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 JOHNSON AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505018408",
            "telephone_number": "515-576-7388",
            "fax_number": "515-576-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 JOHNSON AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505018408",
            "telephone_number": "515-573-8444",
            "fax_number": "515-573-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABINER TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "DAUN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "515-573-1396",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IA11836",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerry Rabiner Memorial Boys' Ranch",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.