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Trimark Physicians Group

Organization Active NPI Rural Health Clinic/Center · Pocahontas, IA

NPI 1255600433 · NPPES record last updated May 13, 2013

Key facts

NPI
1255600433
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
TRIMARK PHYSICIANS GROUP
Practice address
608 NW 7TH St
Pocahontas, IA 50574-1000
Phone
(712) 335-5632
Fax
(712) 335-4148
NPI assigned
Dec 18, 2011
Organization subpart
Yes
Parent organization (as reported)
TRIMARK PHYSICIANS GROUP

Authorized official

Name
Michael J. Dewerff
Title
Cfo
Phone
(515) 574-6603

Corporate family (same tax ID) 20

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

National Provider Directory

Tax ID family
Jeffrey Carandall MD (21 organizations share this tax ID)
Part of
Trimark Physicians Group

Specialties & licenses

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

Addresses

Primary practice location

608 NW 7TH St
Pocahontas, IA 50574-1000

Mailing address

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 574-6890

Other names

  • UnityPoint Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2013.

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1255600433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-6890",
            "fax_number": "515-574-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741000",
            "telephone_number": "712-335-5632",
            "fax_number": "712-335-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMARK PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP",
        "enumeration_date": "2011-12-18",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "DEWERFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-574-6603"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, IA

All providers in Pocahontas, IA · Rural Health Clinic/Center in Iowa

Sources for this page

Verify at the official NPI Registry.