Iowa Physicians Clinic Medical Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing business as

Boone Family Practice

Practice address

120 S Story St
Boone, IA 50036-4739

Phone

(515) 432-4444

Fax

(515) 432-1331

NPI assigned

May 5, 2006

Last updated

Aug 16, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Erick J Laine

Title

Coo

Phone

(515) 471-9227

Specialties & licenses 1

Addresses

Other names 1

• Boone Family Practice Doing business as

Part of

Iowa Phy Medical Foundation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1356390686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD CT",
            "address_2": "SUITE R",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9372",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S STORY ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364739",
            "telephone_number": "515-432-4444",
            "fax_number": "515-432-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-471-9227"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boone Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herrald Drug Inc (Medicap Pharmacy)
• Michael Hickman, PHARMD
• Isabell Hobbs, PA-C
• Kelsie Marie Holmes, D.O.
• Hy-Vee Inc (Hy-Vee Pharmacy (1038))
• James W Pollard DDS PC
• Brandon Mitchell Jerred, MA, MFT
• John W. Reis (Hearing and Speech Services)
• Amanda Marie Josephson, PTA
• Katherine Kasper, R.D., L.D.

• Durable Medical Equipment & Medical Supplies in Boone, IA
• Providers in Boone, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.