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Central Iowa Hospital Corporation

Organization Active NPI Family Medicine Physician · Huxley, IA

NPI 1144271024 · NPPES record last updated May 21, 2008

Key facts

NPI
1144271024
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Practice address
305 S Hwy 69
Huxley, IA 50124-8095
Phone
(515) 597-2600
Fax
(515) 597-3945
NPI assigned
May 15, 2006
Organization subpart
Yes
Parent organization (as reported)
CENTRAL IOWA HOSPITAL CORPORATION

Authorized official

Name
Mr. Joseph F. Corfits Jr.
Title
Cfo
Phone
(515) 241-6507

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040128001102 IA Part B Supplier - Clinic/Group Practice 1052229275 Receives reassigned benefits from 561 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Part of
Methodist Hospital

Locations

305 S US Highway 69
Huxley, IA 50124
Phone (515) 597-2600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

305 S Hwy 69
Huxley, IA 50124-8095

Mailing address

5409 NW 88TH St
Suite 200
Johnston, IA 50131-2949
Phone (515) 362-5980

Other identifiers

IdentifierTypeStateIssuer
0262063MedicaidIA
CK4708OtherIARAILROAD MEDICARE GROUP

Other names

  • Huxley Family Physicians Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 21, 2008.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1144271024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 NW 88TH ST",
            "address_2": "SUITE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312949",
            "telephone_number": "515-362-5980",
            "fax_number": "515-362-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S HWY 69",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501248095",
            "telephone_number": "515-597-2600",
            "fax_number": "515-597-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "CORFITS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-241-6507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262063",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CK4708",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huxley Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huxley, IA

All providers in Huxley, IA · Family Medicine Physician in Iowa

Sources for this page

Verify at the official NPI Registry.