Active NPI
Manning Regional Healthcare Center
Doing business as Manning Regional Healthcare Clinic
- Family Medicine Physician
- Manning, IA
National Provider Identifier
1235432196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MANNING REGIONAL HEALTHCARE CENTER
- Doing business as
- Manning Regional Healthcare Clinic
- Practice address
- 1550 6TH St
Manning, IA 51455-1004 - Phone
- (712) 655-2072
- Fax
- (712) 655-3330
- NPI assigned
- Dec 15, 2010
- Last updated
- Feb 27, 2015
- Organization subpart
- Yes
- Parent organization
- MANNING REGIONAL HEALTHCARE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John O'Brien
- Title
- Ceo
- Phone
- (712) 655-2072
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1550 6TH St
Manning, IA 51455-1004
Mailing address
1550 6TH St
Manning, IA 51455-1004
Phone (712) 655-2072
Other names 1
- Manning Regional Healthcare Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405001163 | IA | Part B Supplier - Clinic/Group Practice | 7618960840 |
Receives reassigned benefits from 31 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Manning, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Manning, IA
- NPI 1306969175
O20040405001163
National Provider Directory
National Provider Directory- Part of
- Manning Reg Hlthcare Center
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Audubon, IA
- NPI 1174519763
-
- Family Medicine Physician
- Manning, IA
- NPI 1922069681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424995200000",
"number": "1235432196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 6TH ST",
"city": "MANNING",
"state": "IA",
"postal_code": "514551004",
"telephone_number": "712-655-2072",
"fax_number": "712-655-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 6TH ST",
"city": "MANNING",
"state": "IA",
"postal_code": "514551004",
"telephone_number": "712-655-2072",
"fax_number": "712-655-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANNING REGIONAL HEALTHCARE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MANNING REGIONAL HEALTHCARE CENTER",
"enumeration_date": "2010-12-15",
"last_updated": "2015-02-27",
"status": "A",
"authorized_official_last_name": "O'BRIEN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "712-655-2072"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Manning Regional Healthcare Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manning, IA
- Manning Betterment Foundation (The Plaza)
- Manning CSD
- Manning Dental LLC
- Manning Family Healthcare Clinic PC
- Manning Regional Healthcare Center (Manning Plaza)
- Manning Regional Healthcare Center
- Manning Regional Healthcare Center
- Manning Regional Healthcare Center (Manning Recovery Center)
- Manning Regional Healthcare Center
- Manning Regional Healthcare Center (Manning Regional Healthcare Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.