Healthstat Onsite Clinic Amsted GW Iowa

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

HEALTHSTAT ONSITE CLINIC AMSTED GW IOWA

Practice address

416 Carbide LN
Keokuk, IA 52632-2048

Phone

(704) 936-5546

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren Hutton

Title

Coo

Phone

(704) 529-6161

Specialties & licenses 1

Addresses

Tax ID family

Healthstat Onsite Clinic Parkdale Plant 16237 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1205289733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171956",
            "telephone_number": "704-529-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CARBIDE LN",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322048",
            "telephone_number": "704-936-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAT ONSITE CLINIC AMSTED GW IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-529-6161"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry W Hargens
• Harper Family Health Clinic LLC
• Julia Harrell, RD
• Emmilyne Having
• Health Source of Keokuk
• Heartland Pathways Inc
• Rita Hellweg, PTA
• Theresa R Hemann, LBSW
• Alexis Hennigar, PT, DPT
• Henry County Health Center, Inc. (Henry County Health Center-Keokuk Clinic)

• Preventive Medicine/Occupational Environmental Medicine Physician in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.