Active NPI
Iowa Physicians Clinic Medical Foundation
- Durable Medical Equipment & Medical Supplies
- Waterloo, IA
National Provider Identifier
1235204967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Iowa Emergency Physicians LLP
- Iowa Eyecare Associates PC
- Iowa Gastroenterology Associates Inc.
- Iowa Hearing Associates LLC
- Iowa Northland Regional Transit Commission
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medicial Foundation
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.