NPIMap

Organization Active NPI

University of Iowa Community Medical Services, Inc

Doing business as UI Family Care - Wapello

  • Rural Health Clinic/Center
  • Wapello, IA
National Provider Identifier
1255568804
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, INC
Doing business as
UI Family Care - Wapello
Practice address
218 N 2ND St
Wapello, IA 52653-1202
Phone
(319) 523-8205
Fax
(319) 523-8840
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Mr. Terry J. Protextor
Title
Executive Director
Phone
(319) 337-7642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

218 N 2ND St
Wapello, IA 52653-1202

Mailing address

218 N 2ND St
Wapello, IA 52653-1202
Phone (319) 523-8205

Other names 1

  • UI Family Care - Wapello Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ui Community Medical SE8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

218 N 2nd St
Wapello, IA 52653
Phone (319) 523-8205

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1255568804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526531202",
            "telephone_number": "319-523-8205",
            "fax_number": "319-523-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526531202",
            "telephone_number": "319-523-8205",
            "fax_number": "319-523-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "PROTEXTOR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-337-7642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UI Family Care - Wapello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wapello, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.