Organization Active NPI

Lutheran Family Service

  • Voluntary or Charitable Agency
  • Fort Dodge, IA
National Provider Identifier
1316059496
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LUTHERAN FAMILY SERVICE
Practice address
409 Kenyon Rd
Suite C
Fort Dodge, IA 50501-5718
Phone
(515) 573-3138
Fax
(515) 573-3130
NPI assigned
Aug 31, 2006
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Melissa K Mathis-Price
Title
Credentialing Specialist
Phone
(563) 526-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

409 Kenyon Rd
Suite C
Fort Dodge, IA 50501-5718

Mailing address

409 Kenyon Rd
Suite C
Fort Dodge, IA 50501-5718
Phone (515) 573-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040406000084 IA Part B Supplier - Clinic/Group Practice 5193718237 Receives reassigned benefits from 9 practitioners
Practice locations: Urbandale, IA; Perry, IA; Oskaloosa, IA; Manning, IA; Fort Dodge, IA; Jefferson, IA; Bettendorf, IA; Dubuque, IA…
O20250225000639 SD Part B Supplier - Clinic/Group Practice 5193718237 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

1844 Highland Dr
Carroll, IA 51401
Phone (515) 251-4900

6021 Northwest Blvd
Davenport, IA 52806
Phone (515) 251-4900

7177 Hickman Rd
Ste 3
Des Moines, IA 50322
Phone (515) 251-4900

2728 Asbury Rd
Ste 450
Dubuque, IA 52001
Phone (515) 573-3138

409 Kenyon Rd
Ste C
Fort Dodge, IA 50501
Phone (515) 573-3138

230 9th Ave N
Fort Dodge, IA 50501

801 W Lincoln Way
Jefferson, IA 50129
Phone (515) 251-4900

1204 Center St
Manning, IA 51455
Phone (515) 573-3138

2370 Merino Ave
Oskaloosa, IA 52577
Phone (515) 251-4900

501 12th St
Perry, IA 50220
Phone (515) 251-4900

2323 Willis Ave
Perry, IA 50220
Phone (515) 251-4900

4301 Sergeant Rd
Ste 203
Sioux City, IA 51106
Phone (712) 276-9000

6200 Aurora Ave
Ste 410W
Urbandale, IA 50322
Phone (515) 251-4900

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1316059496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KENYON RD",
            "address_2": "SUITE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015718",
            "telephone_number": "515-573-3138",
            "fax_number": "515-573-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KENYON RD",
            "address_2": "SUITE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015718",
            "telephone_number": "515-573-3138",
            "fax_number": "515-573-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MATHIS-PRICE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "563-526-8637"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.