Active NPI
Washington Community
- Home Delivered Meals
- Washington, IA
National Provider Identifier
1346432390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177725 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.