USA Healthcare Fort Dodge

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940900 Issued in IA

Legal business name

USA HEALTHCARE FORT DODGE

Practice address

728 14TH Ave N
Fort Dodge, IA 50501-7016

Phone

(515) 576-7226

Fax

(515) 573-2865

NPI assigned

Jun 29, 2005

Last updated

Sep 13, 2007By 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

Mrs. Stephanie Stewart

Title

Bookkeeper

Phone

(515) 576-7226

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1164429775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 14TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017016",
            "telephone_number": "515-576-7226",
            "fax_number": "515-573-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 14TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017016",
            "telephone_number": "515-576-7226",
            "fax_number": "515-573-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTHCARE FORT DODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "515-576-7226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "940900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "65156",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804906",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Unitypoint Health
• Urology Assoc PC
• Rhonda Lee Utley, RN
• Tammy Sue Varland, MSW
• Deborah Kae Varrelmann, A.R.N.P.
• Kyle Reece Versteeg, MD
• Jessica Marie Vonsak, FNP

• Skilled Nursing Facility in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.