Ottumwa Regional Health Center Inc

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

OTTUMWA REGIONAL HEALTH CENTER INC

Doing business as

Emergency Practice Asso

Practice address

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Phone

(641) 682-7511

Fax

(641) 684-2363

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Chad M Wolbers

Title

Interim Ceo

Phone

(641) 684-2300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Emergency Practice Asso Doing business as

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1366477705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-682-7511",
            "fax_number": "641-684-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-682-7511",
            "fax_number": "641-684-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA REGIONAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "WOLBERS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "641-684-2300"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ER DR GROUP",
            "identifier": "24113",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241133",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Practice Asso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Care Clinic/Center in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Emergency Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.