Active NPI
Redfield Medical Clinic
- Rural Health Clinic/Center
- Redfield, IA
National Provider Identifier
1194737254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- REDFIELD MEDICAL CLINIC
- Practice address
- 1013 1St St
Redfield, IA 50233-1007 - Phone
- (515) 833-2301
- Fax
- (515) 833-2108
- NPI assigned
- Aug 13, 2006
- Last updated
- Jul 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward B. Friedmann Jr., PA
- Title
- Administrator
- Phone
- (515) 833-2301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
1013 1St St
Redfield, IA 50233-1007
Mailing address
1013 1St St
Box C
Redfield, IA 50233-1007
Phone (515) 833-2301
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48917 | Other | IA | BCBS |
| 0638270 | Other | IA | MEDIPASS |
| 1233557 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1013 1st St
#C
Redfield, IA 50233
Phone (515) 833-2301
Practitioners & affiliated clinicians
Practitioners 1
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": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184025600000",
"number": "1194737254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 1ST ST",
"address_2": "BOX C",
"city": "REDFIELD",
"state": "IA",
"postal_code": "502331007",
"telephone_number": "515-833-2301",
"fax_number": "515-833-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 1ST ST",
"city": "REDFIELD",
"state": "IA",
"postal_code": "502331007",
"telephone_number": "515-833-2301",
"fax_number": "515-833-2108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDFIELD MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-10",
"status": "A",
"authorized_official_last_name": "FRIEDMANN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "515-833-2301",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "48917",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIPASS",
"identifier": "0638270",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1233557",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.