Organization Active NPI

Iowa Physicians Clinic Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Waterloo, IA
National Provider Identifier
1235204967
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Doing business as
Iowa Health Physicians
Practice address
1753 W. Ridgeway
Suite 102
Waterloo, IA 50701-4544
Phone
(319) 833-5888
Fax
(319) 833-5891
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Robin L McNichols
Title
VP/Coo
Phone
(515) 471-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1753 W. Ridgeway
Suite 102
Waterloo, IA 50701-4544

Mailing address

8101 Birchwood Court
Suite R
Johnston, IA 50131-2930
Phone (515) 471-9243

Other names 1

  • Iowa Health Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

905 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 965-0300

840 E University Ave
Des Moines, IA 50316
Phone (515) 265-4211

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1235204967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD COURT",
            "address_2": "SUITE R",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W. RIDGEWAY",
            "address_2": "SUITE 102",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014544",
            "telephone_number": "319-833-5888",
            "fax_number": "319-833-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "MCNICHOLS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "515-471-9201"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Health Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.