NPIMap

Organization Active NPI

Fort Dodge Ywca Women's Halfway House

  • Substance Abuse Rehabilitation Facility
  • Fort Dodge, IA
National Provider Identifier
1174723118
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1304 Issued in IA
Legal business name
FORT DODGE YWCA WOMEN'S HALFWAY HOUSE
Practice address
826 1St Ave N
Fort Dodge, IA 50501-3906
Phone
(515) 573-3931
Fax
(515) 573-3950
NPI assigned
Jul 18, 2007
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Ms. Ann Elizabeth Davidson
Title
Executive Director
Phone
(515) 573-3931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1304 IA Primary

Addresses

Primary practice location

826 1St Ave N
Fort Dodge, IA 50501-3906

Mailing address

826 1St Ave N
Fort Dodge, IA 50501-3906
Phone (515) 573-3931

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2207273Ywca of Fort Dodge826 1St Ave N, Fort Dodge, IA 50501Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

826 1st Ave N
Fort Dodge, IA 50501
Phone (515) 573-3931

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1174723118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013906",
            "telephone_number": "515-573-3931",
            "fax_number": "515-573-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013906",
            "telephone_number": "515-573-3931",
            "fax_number": "515-573-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DODGE YWCA WOMEN'S HALFWAY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-573-3931",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IA",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.