Iowa Physicians Clinic Medical Foundation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing business as

Unitypoint Clinic Laboratory Fort Dodge

Practice address

800 Kenyon Rd
Suite P
Fort Dodge, IA 50501-5776

Phone

(515) 574-6079

Fax

(515) 574-4855

NPI assigned

Aug 4, 2016

Last updated

Nov 29, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

David Williams

Title

President/Ceo

Phone

(515) 471-9200

Specialties & licenses 1

Addresses

Other names 1

• UNITYPOINT CLINIC LABORATORY FORT DODGE Doing business as

Part of

Iowa Phy Medical Foundation

Locations

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1164976437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503061455",
            "telephone_number": "515-471-9300",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENYON RD",
            "address_2": "SUITE P",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015776",
            "telephone_number": "515-574-6079",
            "fax_number": "515-574-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-471-9200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT CLINIC LABORATORY FORT DODGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa ENT & Sinus Surgery Center PC
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• Iowa Oto Head and Neck Specialists PC
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine Second Avenue North)
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Pediatrics Fort Dodge)
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine Kenyon Road)
• Iowa Specialty Hospital - Clarion (Fort Dodge Clinic)
• Emma Jean Irving
• Richard Y Jacobson, O.D.

• Clinical Medical Laboratory in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Clinical Medical Laboratory in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.