NPIMap

Organization Active NPI

Ida Grove Family Health Center, PLLC

Doing business as Denison Family Health Center

  • Primary Care Clinic/Center
  • Denison, IA
National Provider Identifier
1356788780
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
03156 Issued in IA
Legal business name
IDA GROVE FAMILY HEALTH CENTER, PLLC
Doing business as
Denison Family Health Center
Practice address
2540 N Ave
Denison, IA 51442-7584
Phone
(712) 364-2300
NPI assigned
May 24, 2013
Organization subpart
Yes
Parent organization
IDA GROVE FAMILY HEALTH CENTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Dr. Michael P Luft, DONPI 1285714477
Title
Owner
Phone
(712) 364-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 03156 IA Primary

Addresses

Primary practice location

2540 N Ave
Denison, IA 51442-7584

Mailing address

101 2ND St
Ida Grove, IA 51445-1401
Phone (712) 364-2300

Other names 1

  • Denison Family Health Center Doing business as

National Provider Directory

National Provider Directory
Part of
Ida Grove Family Ctr PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1356788780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451401",
            "telephone_number": "712-364-2300",
            "fax_number": "712-364-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 N AVE",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514427584",
            "telephone_number": "712-364-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA GROVE FAMILY HEALTH CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDA GROVE FAMILY HEALTH CENTER, PLLC",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "LUFT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-364-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IA",
            "license": "03156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denison Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.