Organization Active NPI

Mount Saint Clare Speech and Hearing Center Inc

  • Speech-Language Pathologist
  • Clinton, IA
National Provider Identifier
1295716017
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00085 Issued in IA
Legal business name
MOUNT SAINT CLARE SPEECH AND HEARING CENTER INC
Practice address
562 N Bluff Blvd
Clinton, IA 52732
Phone
(563) 242-4070
Fax
(563) 242-2426
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Marcella Marie Narlock, MS SPEECH PATHOLOGY
Title
Director
Phone
(563) 242-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 00085 IA Primary

Addresses

Primary practice location

562 N Bluff Blvd
Clinton, IA 52732

Mailing address

PO Box 361
Clinton, IA 52733-0361
Phone (563) 242-5316

Other identifiers 2

IdentifierTypeStateIssuer
66526OtherIABCBS
0665265MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1295716017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527330361",
            "telephone_number": "563-242-5316",
            "fax_number": "563-242-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 N BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "52732",
            "telephone_number": "563-242-4070",
            "fax_number": "563-242-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SAINT CLARE SPEECH AND HEARING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "NARLOCK",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "563-242-4070",
        "authorized_official_credential": "MS SPEECH PATHOLOGY"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "00085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "66526",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665265",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.