Organization Active NPI

Washington Community

  • Home Delivered Meals
  • Washington, IA
National Provider Identifier
1346432390
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
WASHINGTON COMMUNITY
Practice address
121 E Main
Washington, IA 52353-2092
Phone
(319) 653-5300
Fax
(319) 653-2142
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Mrs. Cris E Gaughan
Title
Site Manager for Nutrition Program
Phone
(319) 653-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

121 E Main
Washington, IA 52353-2092

Mailing address

121 E Main
Washington, IA 52353-2092
Phone (319) 653-5300

Other identifiers 1

IdentifierTypeStateIssuer
0177725MedicaidIA

National Provider Directory

National Provider Directory

Locations

121 E Main St
Washington, IA 52353
Phone (319) 653-5300

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1346432390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E MAIN",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532092",
            "telephone_number": "319-653-5300",
            "fax_number": "319-653-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MAIN",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532092",
            "telephone_number": "319-653-5300",
            "fax_number": "319-653-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "GAUGHAN",
        "authorized_official_first_name": "CRIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SITE MANAGER FOR NUTRITION PROGRAM",
        "authorized_official_telephone_number": "319-653-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177725",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.