Organization Active NPI

Ottumwa Regional Health Center Inc

Doing business as Emergency Practice Asso

  • Emergency Care Clinic/Center
  • Ottumwa, IA
National Provider Identifier
1366477705
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X IA Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Mailing address

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone (641) 682-7511

Other names 1

  • Emergency Practice Asso Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Pennsylvania Ave
Ofc
Ottumwa, IA 52501

1005 Pennsylvania Ave
Ste 101
Ottumwa, IA 52501
Phone (641) 682-8700

931 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Practice Asso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

  • 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.