Active NPI
The Larrabee Center, in.C
- Community/Behavioral Health Agency
- Waverly, IA
National Provider Identifier
1205990223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE LARRABEE CENTER, IN.C
- Practice address
- 117 11TH St NW
Waverly, IA 50677-2212 - Phone
- (319) 352-2234
- NPI assigned
- Dec 21, 2006
- Last updated
- Aug 1, 2011
- 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
- Clark Wilharm
- Title
- Executive Director
- Phone
- (319) 352-2234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
117 11TH St NW
Waverly, IA 50677-2212
Mailing address
117 11TH St NW
Waverly, IA 50677-2212
Phone (319) 352-2234
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0163428 | Medicaid | IA | |
| 0225987 | Medicaid | IA | |
| 0746859 | Medicaid | IA | |
| 1225987 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
117 11th St NW
Waverly, IA 50677
Phone (319) 352-2234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312156800000",
"number": "1205990223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 11TH ST NW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772212",
"telephone_number": "319-352-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 11TH ST NW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772212",
"telephone_number": "319-352-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LARRABEE CENTER, IN.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2011-08-01",
"status": "A",
"authorized_official_last_name": "WILHARM",
"authorized_official_first_name": "CLARK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "319-352-2234"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0163428",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0225987",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0746859",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225987",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, IA
- Melanie Tagtow
- Taylor Physical Therapy Assoc. LLC (Taylor Physical)
- Taylor Physical Therapy Assoc. LLC (Taylor Physical Therapy)
- Taylor Physical Therapy Associates LLC
- Sunnycho Teeling
- Lacie Michelle Theis, ARNP, PMHNP-BC
- Leah Dawn Thier, P.T.
- Janel R Thompson, ARNP
- Terrie Lynn Thurm, ARNP
- Brooke Marie Toohey, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.