Edgerton Womens Health Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EDGERTON WOMENS HEALTH CENTER

Practice address

1510 E Rusholme St
Davenport, IA 52803-2463

Phone

(563) 359-6633

Fax

(563) 324-4183

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas P Fedje

Title

President

Phone

(563) 359-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Edgerton Womens Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Edgerton Womens Health Center

  • Women's Health Nurse Practitioner
  • Davenport, IA
  • NPI 1497830764
  NPD tax ID

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215013958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-324-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-324-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGERTON WOMENS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDJE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-359-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051425",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Eaton, DC
• Marcia Diane Echols
• Susan M. Eckert
• Pamela Eckman, BS, PHARMD
• Edgerton Women'S Health Center, Inc.
• Edgerton Womens Health Center
• Edgerton Womens Health Center
• Jenifer Edstrom, ARNP, FNP-C
• Alyssa Edwards, TLMHC, LPC
• Bailey Edwinson

• Specialist in Davenport, IA
• Providers in Davenport, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.