NPIMap

Organization Active NPI

Manning Regional Healthcare Center

  • Nursing Facility/Intermediate Care Facility
  • Manning, IA
National Provider Identifier
1124141999
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
140058H Issued in IA
Legal business name
MANNING REGIONAL HEALTHCARE CENTER
Practice address
402 Main St
Manning, IA 51455-1033
Phone
(712) 655-2072
Fax
(712) 655-3330
NPI assigned
Apr 9, 2007
Organization subpart
Yes
Parent organization
MANNING REGIONAL HEALTHCARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
John Obrien
Title
Ceo
Phone
(712) 655-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 140058H IA Primary

Addresses

Primary practice location

402 Main St
Manning, IA 51455-1033

Mailing address

402 Main St
Manning, IA 51455-1033
Phone (712) 655-2072

Other identifiers 3

IdentifierTypeStateIssuer
0802421MedicaidIA
6-E069OtherIABLUE CROSS NF PROVIDER #
16E069MedicaidIA

Other names 1

  • Manning Plaza Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manning Regional Healthcare4 organizations share this tax ID, including this one
Part of
Manning Regional Healthcare

Other organizations with this tax ID 3

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1124141999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551033",
            "telephone_number": "712-655-2072",
            "fax_number": "712-655-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551033",
            "telephone_number": "712-655-2072",
            "fax_number": "712-655-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING REGIONAL HEALTHCARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANNING REGIONAL HEALTHCARE CENTER",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "17126552072"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "140058H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802421",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NF PROVIDER #",
            "identifier": "6-E069",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16E069",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manning Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manning, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.