Deer Creek Health Center, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

DEER CREEK HEALTH CENTER, LLC

Doing business as

Deer Creek Family Care

Practice address

401 1St Ave
Toledo, IA 52342-2129

Phone

(641) 484-2602

Fax

(641) 484-6837

NPI assigned

Nov 2, 2006

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry J Protextor

Title

Executive Director

Phone

(319) 337-7642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deer Creek Family Care Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Grinnell Regional Medical Center

  dba Unitypoint Health - Grinnell Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Grinnell, IA
  • NPI 1780892307

  Member Of

  NPD member
• Health Advantage Plus Inc

  dba Grinnell Regional Physical Rehab

  • Physical Therapy Clinic/Center
  • Grinnell, IA
  • NPI 1225270838

  Member Of

  NPD member

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1295814234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 1ST AVE",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422129",
            "telephone_number": "641-484-2602",
            "fax_number": "641-484-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 1ST AVE",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422129",
            "telephone_number": "641-484-2602",
            "fax_number": "641-484-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-02-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID",
            "identifier": "0689224",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Creek Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Iowa Family Planning Inc.
• Central Iowa Healthcare (CIH Tama/Toledo Clinic)
• Central Iowa Physio LLC
• Country Living Care Center
• Deer Creek Health Center, LLC (Deer Creek Family Care)
• Anna Marie Dempewolf, PAC
• Gwendolyn C Doland, MS LMHC CADC
• Doyle's Family Pharmacy, Inc
• Adelheid Christine Ernst, PT
• Danielle Renee Friedlein, PT, ATC

• Rural Health Clinic/Center in Toledo, IA
• Providers in Toledo, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.