Organization Active NPI

The Larrabee Center, in.C

  • Community/Behavioral Health Agency
  • Waverly, IA
National Provider Identifier
1205990223
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0163428MedicaidIA
0225987MedicaidIA
0746859MedicaidIA
1225987MedicaidIA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.