Organization Active NPI

Clarke Electric Cooperative, Inc.

  • Home Health Agency
  • Osceola, IA
National Provider Identifier
1174708309
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLARKE ELECTRIC COOPERATIVE, INC.
Practice address
1103 N Main St
Osceola, IA 50213-9321
Phone
(641) 342-2173
Fax
(641) 342-6292
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Mr. Jason A Gibbs
Title
Dir, Member Services
Phone
(641) 342-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1103 N Main St
Osceola, IA 50213-9321

Mailing address

1103 N Main St
Osceola, IA 50213-9321
Phone (641) 342-2173

Other identifiers 1

IdentifierTypeStateIssuer
0104257MedicaidIA

National Provider Directory

National Provider Directory

Locations

1103 N Main St
Osceola, IA 50213
Phone (641) 342-2173

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1174708309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N MAIN ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502139321",
            "telephone_number": "641-342-2173",
            "fax_number": "641-342-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N MAIN ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502139321",
            "telephone_number": "641-342-2173",
            "fax_number": "641-342-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE ELECTRIC COOPERATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIR, MEMBER SERVICES",
        "authorized_official_telephone_number": "641-342-2173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104257",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.