Kirkwood Community College

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KIRKWOOD COMMUNITY COLLEGE

Doing business as

Heritage Area Agency on Aging

Practice address

6301 Kirkwood Blvd SW
Cedar Rapids, IA 52404-5260

Phone

(319) 398-5559

Fax

(319) 398-7619

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Selk

Title

Director

Phone

(319) 398-5559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Area Agency on Aging Doing business as

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1285849596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 KIRKWOOD BLVD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045260",
            "telephone_number": "319-398-5559",
            "fax_number": "319-398-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 KIRKWOOD BLVD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045260",
            "telephone_number": "319-398-5559",
            "fax_number": "319-398-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SELK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-398-5559",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150649",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Area Agency on Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Thomas Kingus, O.D.
• Daniel Stanton Kinker, DO
• Stacy M Kirby, PA-C
• Darren Eathan Kirk II, LMSW
• Drew Kirk, CADC
• Jenny Marie Kirstein, DPT
• Bethany Jean Kirton, ARNP
• Samuel Cole Kitzman, PA-C
• Hannah Klaassen, DDS
• Klauer Optical Co.

• Case Management Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Case Management Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.