NPIMap

Organization Active NPI

Unitypoint Clinic Urgent Care

  • Urgent Care Clinic/Center
  • Fort Dodge, IA
National Provider Identifier
1174073597
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A113462 Issued in IA
Legal business name
UNITYPOINT CLINIC URGENT CARE
Practice address
802 Kenyon Rd
Suite a
Fort Dodge, IA 50501-5740
Phone
(515) 574-8484
Fax
(515) 574-8483
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Ms. Lisa Renee Randall, RN
Title
Clinic Manager
Phone
(515) 574-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X A113462 IA Primary

Addresses

Primary practice location

802 Kenyon Rd
Suite a
Fort Dodge, IA 50501-5740

Mailing address

802 Kenyon Rd
Suite a
Fort Dodge, IA 50501-5740
Phone (515) 574-8484

Other names 1

  • Trimack Physicians Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trimark Physicians Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1174073597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-8484",
            "fax_number": "515-574-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-8484",
            "fax_number": "515-574-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITYPOINT CLINIC URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "515-574-8488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IA",
            "license": "A113462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trimack Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.