NPIMap

Organization Active NPI

Hillcrest Family Services

  • Community Health Clinic/Center
  • Dubuque, IA
National Provider Identifier
1245407329
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
HILLCREST FAMILY SERVICES
Practice address
220 W 7TH St
Dubuque, IA 52001-2375
Phone
(563) 583-6431
Fax
(563) 557-4447
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Gary L Gansemer, LISW
Title
President/Ceo
Phone
(563) 583-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

220 W 7TH St
Dubuque, IA 52001-2375

Mailing address

2005 Asbury Rd
Dubuque, IA 52001-3042
Phone (563) 583-7357

Other identifiers 1

IdentifierTypeStateIssuer
0191288MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Kristine M Staheli Jackson22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1245407329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013042",
            "telephone_number": "563-583-7357",
            "fax_number": "563-583-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 7TH ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012375",
            "telephone_number": "563-583-6431",
            "fax_number": "563-557-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "GANSEMER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "563-583-7357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191288",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.